Coronary artery disease and chronic kidney disease

Agnès Rafecas, José A. Barrabés

Research output: Chapter in BookChapterResearchpeer-review

Abstract

© 2016 by Nova Science Publishers, Inc. All rights reserved. There is a wealth of data demonstrating a close association between chronic kidney disease (CKD) and cardiovascular disease, particularly coronary artery disease (CAD). About one half of deaths in patients with end-stage renal disease (ESRD) are of cardiovascular causes. The association between CKD and ischemic heart disease can be explained in part because both conditions are related to the traditional risk factors for atherosclerotic vascular disease. However, CKD might also have a casual role in the development and progression of CAD, with several mechanisms potentially involved. Among CAD patients, those with CKD have systematically a worse prognosis than those without CKD irrespective of the clinical presentation or the treatments applied. Current therapy is based on small trials and observational data and by extrapolating the strategies that have proven useful in the general population, although many treatments that have shown to improve the prognosis of CAD patients are underused in those with renal impairment.
Original languageEnglish
Title of host publicationComorbidities in Chronic Kidney Disease: From Diagnosis to Management
Pages85-106
Number of pages21
Publication statusPublished - 1 Jan 2016

Keywords

  • Atherosclerosis
  • Chronic kidney disease
  • Coronary artery disease
  • Coronary revascularization

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