Cardiovascular disease and chronic kidney disease: Insights and an update

Patricia J.M. Best, Donal N. Reddan, Peter B. Berger, Lynda A. Szczech, Peter A. McCullough, Robert M. Califf

Research output: Contribution to journalArticle

59 Scopus citations

Abstract

Despite the high prevalence and significant morbidity and mortality rates of chronic kidney disease (CKD) related to cardiovascular disease, it remains vastly understudied. Most of the current practice recommendations come from small under-powered prospective studies, retrospective reviews, and assuming patients with CKD will similarly benefit from medications and treatments as patients with normal renal function. In addition, because of the previous lack of a consistent definition of CKD and how to measure renal function, definitions of the degree of renal dysfunction have varied widely and compounded the confusion of these data. Remarkably, despite patients with CKD representing the group at highest risk from cardiovascular complications, even greater than patients with diabetes mellitus, there has been a systematic exclusion of patients with CKD from therapeutic trials. This review outlines our current understanding of CKD as a cardiovascular risk factor, treatment options, and the future directions that are needed to treat cardiovascular disease in patients with CKD.

Original languageEnglish (US)
Pages (from-to)230-242
Number of pages13
JournalAmerican Heart Journal
Volume148
Issue number2
DOIs
StatePublished - Aug 1 2004

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Best, P. J. M., Reddan, D. N., Berger, P. B., Szczech, L. A., McCullough, P. A., & Califf, R. M. (2004). Cardiovascular disease and chronic kidney disease: Insights and an update. American Heart Journal, 148(2), 230-242. https://doi.org/10.1016/j.ahj.2004.04.011