Cardiovascular disease in chronic kidney disease. A clinical update from Kidney Disease: Improving Global Outcomes (KDIGO)

被引:686
作者
Herzog, Charles A. [1 ,2 ]
Asinger, Richard W. [1 ,2 ]
Berger, Alan K. [2 ]
Charytan, David M. [3 ]
Diez, Javier [4 ]
Hart, Robert G. [5 ]
Eckardt, Kai-Uwe [6 ]
Kasiske, Bertram L. [1 ,2 ]
McCullough, Peter A. [7 ]
Passman, Rod S. [8 ]
DeLoach, Stephanie S. [9 ]
Pun, Patrick H. [10 ]
Ritz, Eberhard
机构
[1] Hennepin Cty Med Ctr, Minneapolis, MN 55415 USA
[2] Univ Minnesota, Minneapolis, MN USA
[3] Brigham & Womens Hosp, Boston, MA 02115 USA
[4] Univ Navarra, E-31080 Pamplona, Spain
[5] McMaster Univ, Populat Hlth Res Inst, Hamilton, ON, Canada
[6] Univ Erlangen Nurnberg, Erlangen, Germany
[7] St John Providence Hlth Syst, Novi, MI USA
[8] Northwestern Univ, Chicago, IL 60611 USA
[9] Thomas Jefferson Univ, Jefferson Med Coll, Philadelphia, PA 19107 USA
[10] Duke Univ, Durham, NC USA
关键词
atrial fibrillation; heart failure; myocardial infarction; peripheral arterial disease; stroke; sudden death; SUDDEN CARDIAC DEATH; CORONARY-ARTERY-DISEASE; STAGE RENAL-DISEASE; ACUTE MYOCARDIAL-INFARCTION; PERIPHERAL VASCULAR-DISEASE; GLOMERULAR-FILTRATION-RATE; ASSOCIATION TASK-FORCE; C-REACTIVE PROTEIN; DOBUTAMINE STRESS ECHOCARDIOGRAPHY; LOWER-EXTREMITY REVASCULARIZATION;
D O I
10.1038/ki.2011.223
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Cardiovascular morbidity and mortality in patients with chronic kidney disease (CKD) is high, and the presence of CKD worsens outcomes of cardiovascular disease (CVD). CKD is associated with specific risk factors. Emerging evidence indicates that the pathology and manifestation of CVD differ in the presence of CKD. During a clinical update conference convened by the Kidney Disease: Improving Global Outcomes (KDIGO), an international group of experts defined the current state of knowledge and the implications for patient care in important topic areas, including coronary artery disease and myocardial infarction, congestive heart failure, cerebrovascular disease, atrial fibrillation, peripheral arterial disease, and sudden cardiac death. Although optimal strategies for prevention, diagnosis, and management of these complications likely should be modified in the presence of CKD, the evidence base for decision making is limited. Trials targeting CVD in patients with CKD have a large potential to improve outcomes. Kidney International (2011) 80, 572-586; doi: 10.1038/ki.2011.223; published online 13 July 2011
引用
收藏
页码:572 / 586
页数:15
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