The Dual Burden: Exploring Cardiovascular Complications in Chronic Kidney Disease

被引:3
作者
Caturano, Alfredo [1 ,2 ]
Galiero, Raffaele [1 ]
Rocco, Maria [1 ]
Tagliaferri, Giuseppina [1 ]
Piacevole, Alessia [1 ]
Nilo, Davide [1 ]
Di Lorenzo, Giovanni [1 ]
Sardu, Celestino [1 ]
Russo, Vincenzo [3 ,4 ]
Vetrano, Erica [1 ]
Monda, Marcellino [2 ]
Marfella, Raffaele [1 ]
Rinaldi, Luca [5 ]
Sasso, Ferdinando Carlo [1 ]
机构
[1] Univ Campania Luigi Vanvitelli, Dept Adv Med & Surg Sci, I-80138 Naples, Italy
[2] Univ Campania Luigi Vanvitelli, Dept Expt Med, I-80138 Naples, Italy
[3] Univ Campania Luigi Vanvitelli, Dept Med Translat Sci, Div Cardiol, I-80138 Naples, Italy
[4] Temple Univ, Sbarro Inst Canc Res & Mol Med, Coll Sci & Technol, Dept Biol, Philadelphia, PA 19122 USA
[5] Univ Molise, Dept Med & Hlth Sci Vincenzo Tiberio, I-86100 Campobasso, Italy
关键词
chronic kidney disease; cardiovascular risk; pharmacological management; lifestyle modifications; renal function; novel treatment; CORONARY-ARTERY CALCIFICATION; OXIDATIVE STRESS; INDOXYL SULFATE; HEART-FAILURE; NATRIURETIC PEPTIDE; PROGNOSTIC VALUE; IRON-DEFICIENCY; RENAL-FUNCTION; RISK-FACTORS; CKD;
D O I
10.3390/biom14111393
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Chronic kidney disease (CKD) represents a significant global health challenge, affecting millions of individuals and leading to substantial morbidity and mortality. This review aims to explore the epidemiology, cardiovascular complications, and management strategies associated with CKD, emphasizing the importance of preventing cardiovascular disease and early intervention. CKD is primarily driven by conditions such as diabetes mellitus, hypertension, and cardiovascular diseases, which often coexist and exacerbate renal impairment. Effective management requires a multifaceted approach, including lifestyle modifications, pharmacological interventions, and regular monitoring. Dietary changes, such as sodium restriction and a controlled intake of phosphorus and potassium, play a vital role in preserving renal function. Pharmacological therapies, particularly angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and emerging agents like SGLT2 inhibitors, have shown efficacy in slowing disease progression and improving patient outcomes. Furthermore, patients undergoing dialysis face increased cardiovascular risk, necessitating comprehensive management strategies to address both renal and cardiac health. As the landscape of CKD treatment evolves, ongoing research into novel therapeutic options and personalized medical approaches are essential. This review underscores the urgent need for awareness, education, and effective preventive measures to mitigate the burden of CKD and enhance the quality of life for affected individuals.
引用
收藏
页数:22
相关论文
共 232 条
[1]   Inflammatory Cytokines and Reactive Oxygen Species as Mediators of Chronic Kidney Disease-Related Vascular Calcification [J].
Agharazii, Mohsen ;
St-Louis, Ronald ;
Gautier-Bastien, Alexandra ;
Ung, Roth-Visal ;
Mokas, Sophie ;
Lariviere, Richard ;
Richard, Darren E. .
AMERICAN JOURNAL OF HYPERTENSION, 2015, 28 (06) :746-755
[2]  
Agrawal S, 2018, NAT REV NEPHROL, V14, P57, DOI 10.1038/nrneph.2017.155
[3]   Management of cardiovascular risk factors and other comorbidities in chronic kidney disease [J].
Ali, Sehrish ;
Ajmal, Muhammad S. ;
Navaneethan, Sankar D. .
CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION, 2020, 29 (05) :453-456
[4]   Lifestyle Modifications and Nutritional and Therapeutic Interventions in Delaying the Progression of Chronic Kidney Disease: A Review [J].
Alkhatib, Lean ;
Diaz, Lorena A. Velez ;
Varma, Samyukta ;
Chowdhary, Arsh ;
Bapat, Prachi ;
Pan, Hai ;
Kukreja, Geetika ;
Palabindela, Prasannalaxmi ;
Selvam, Sri Abirami ;
Kalra, Kartik .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (02)
[5]   Use of Measures of Inflammation and Kidney Function for Prediction of Atherosclerotic Vascular Disease Events and Death in Patients With CKD: Findings From the CRIC Study [J].
Amdur, Richard L. ;
Feldman, Harold I. ;
Dominic, Elizabeth A. ;
Anderson, Amanda H. ;
Beddhu, Srinivasan ;
Rahman, Mahboob ;
Wolf, Myles ;
Reilly, Muredach ;
Ojo, Akinlolu ;
Townsend, Raymond R. ;
Go, Alan S. ;
He, Jiang ;
Xie, Dawei ;
Thompson, Sally ;
Budoff, Matthew ;
Kasner, Scott ;
Kimmel, Paul L. ;
Kusek, John W. ;
Raj, Dominic S. ;
Fink, Jeffrey ;
Appel, Lawrence J. ;
Lash, James P. .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2019, 73 (03) :344-353
[6]   Emerging therapeutic options in the management of diabetes: recent trends, challenges and future directions [J].
Ansari, Mohammad Azam ;
Chauhan, Waseem ;
Shoaib, Shoaib ;
Alyahya, Sami A. ;
Ali, Mubashshir ;
Ashraf, Hamid ;
Alomary, Mohammad N. ;
Al-Suhaimi, Ebtesam A. .
INTERNATIONAL JOURNAL OF OBESITY, 2023, 47 (12) :1179-1199
[7]   Resting energy expenditure of chronic kidney disease patients: Influence of renal function and subclinical inflammation [J].
Avesani, CM ;
Draibe, SA ;
Kamimura, MA ;
Colugnati, FAB ;
Cuppari, L .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2004, 44 (06) :1008-1016
[8]   Controversies in optimal anemia management: conclusions from a Kidney Disease: Improving (KDIGO) Conference [J].
Babitt, Jodie L. ;
Eisenga, Michele F. ;
Haase, Volker H. ;
Kshirsagar, Abhijit, V ;
Levin, Adeera ;
Locatelli, Francesco ;
Malyszko, Jolanta ;
Swinkels, Dorine W. ;
Tarng, Der-Cherng ;
Cheung, Michael ;
Jadoul, Michel ;
Winkelmayer, Wolfgang C. ;
Drueke, Tilman B. .
KIDNEY INTERNATIONAL, 2021, 99 (06) :1280-1295
[9]   Anemia of Chronic Kidney Disease-A Narrative Review of Its Pathophysiology, Diagnosis, and Management [J].
Badura, Krzysztof ;
Janc, Jedrzej ;
Wasik, Joanna ;
Gnitecki, Szymon ;
Skwira, Sylwia ;
Mlynarska, Ewelina ;
Rysz, Jacek ;
Franczyk, Beata .
BIOMEDICINES, 2024, 12 (06)
[10]   Effect of Finerenone on Chronic Kidney Disease Outcomes in Type 2 Diabetes [J].
Bakris, George L. ;
Agarwal, Rajiv ;
Anker, Stefan D. ;
Pitt, Bertram ;
Ruilope, Luis M. ;
Rossing, Peter ;
Kolkhof, Peter ;
Nowack, Christina ;
Schloemer, Patrick ;
Joseph, Amer ;
Filippatos, Gerasimos .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (23) :2219-2229