[Chronic kidney disease-a cardiovascular high-risk constellation]

Internist (Berl). 2020 Apr;61(4):340-348. doi: 10.1007/s00108-019-00686-y.
[Article in German]

Abstract

Chronic kidney disease (CKD) is associated with substantial cardiovascular morbidity and mortality. This is mediated by the high prevalence of traditional cardiovascular risk factors in patients with CKD such as arterial hypertension and diabetes mellitus, but also by the presence of CKD-specific so-called nontraditional cardiovascular risk factors such as vascular calcification, uremic toxins, uremic dyslipidemia as well as inflammation and oxidative stress. Therefore, the primary and secondary prevention of cardiovascular disease represents an integral part of nephrology. This entails optimal control of blood pressure and diabetes, therapy of the uremic dyslipidemia as well as lifestyle-modifying factors such as weight reduction and smoking cessation.

Keywords: Cardiovascular diseases, prevention; Diabetes mellitus; Dyslipidemias; Hypertension, arterial; Oxidative stress.

Publication types

  • Review

MeSH terms

  • Blood Pressure / physiology
  • Calcium / metabolism
  • Cardiovascular Diseases / epidemiology*
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control*
  • Diabetes Mellitus / epidemiology
  • Dyslipidemias / epidemiology*
  • Dyslipidemias / etiology
  • Humans
  • Hypertension / epidemiology
  • Hypertension / etiology
  • Hypertension / prevention & control
  • Inflammation / complications
  • Oxidative Stress
  • Renal Insufficiency, Chronic / complications*
  • Risk Factors
  • Toxins, Biological / blood*
  • Uremia / complications*
  • Uremia / epidemiology
  • Uremia / metabolism
  • Vascular Calcification / complications
  • Vascular Calcification / epidemiology
  • Vascular Stiffness

Substances

  • Toxins, Biological
  • Calcium