National Kidney Foundation consensus conference on cardiovascular and kidney diseases and diabetes risk: an integrated therapeutic approach to reduce events

被引:40
作者
Bakris, George [1 ]
Vassalotti, Joseph [2 ,3 ]
Ritz, Eberhard [4 ]
Wanner, Christoph [5 ]
Stergiou, George [6 ]
Molitch, Mark [7 ]
Nesto, Richard [8 ]
Kaysen, George A. [9 ]
Sowers, James R. [10 ]
机构
[1] Univ Chicago, Pritzker Sch Med, Dept Med, Chicago, IL 60637 USA
[2] Mt Sinai Sch Med, Dept Med, New York, NY USA
[3] Mt Sinai Sch Med, Natl Kidney Fdn, New York, NY USA
[4] Nierenzentrum, Dept Med, Heidelberg, Germany
[5] Univ Clin Wurzburg, Dept Med, Wurzburg, Germany
[6] Univ Athens, Dept Med, GR-10679 Athens, Greece
[7] Northwestern Univ, Feinberg Sch Med, Dept Med, Chicago, IL USA
[8] Lahey Clin Med Ctr, Dept Med, Boston, MA USA
[9] Univ Calif, Dept Med, Davis, CA USA
[10] Univ Missouri, Sch Med, Dept Med, Columbia, MO 65211 USA
关键词
cardiovascular; diabetes; nephropathy; DIETARY-PROTEIN RESTRICTION; CORONARY-HEART-DISEASE; CHRONIC RENAL-DISEASE; ANGIOTENSIN RECEPTOR BLOCKERS; BLOOD-PRESSURE RECORDINGS; WEIGHT-LOSS; SIMVASTATIN TREATMENT; CARDIORENAL SYNDROME; HYPERTENSION CONTROL; SERUM CREATININE;
D O I
10.1038/ki.2010.292
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
100201 [内科学]; 100221 [泌尿外科学];
摘要
Cardiovascular disease (CVD) is the most common cause of death in industrialized nations. Type 2 diabetes is a CVD risk factor that confers risk similar to a previous myocardial infarction in an individual who does not have diabetes. In addition, the most common cause of chronic kidney disease (CKD) is diabetes. Together, diabetes and hypertension account for more than two-thirds of CVD risk, and other risk factors such as dyslipidemia contribute to the remainder of CVD risk. CKD, particularly with presence of significant albuminuria, should be considered an additional cardiovascular risk factor. There is no consensus on how to assess and stratify risk for patients with kidney disease across subspecialties that commonly treat such patients. This paper summarizes the results of a consensus conference utilizing a patient case to discuss the integrated management of hypertension, kidney disease, dyslipidemia, diabetes, and heart failure across disciplines.
引用
收藏
页码:726 / 736
页数:11
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