Prognostic Cardiovascular Markers in Chronic Kidney Disease

被引:46
作者
Chen, Szu-Chia [1 ,3 ,4 ,5 ]
Huang, Jiun-Chi [1 ,3 ,4 ,5 ]
Su, Ho-Ming [2 ,3 ,5 ]
Chiu, Yi-Wen [1 ,5 ]
Chang, Jer-Ming [1 ,5 ]
Hwang, Shang-Jyh [1 ,5 ]
Chen, Hung-Chun [1 ,5 ]
机构
[1] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung, Taiwan
[2] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
[3] Kaohsiung Med Univ, Kaohsiung Municipal Hsiao Kang Hosp, Dept Internal Med, 482 San Ming Rd, Kaohsiung 812, Taiwan
[4] Kaohsiung Med Univ, Coll Med, Grad Inst Clin Med, Kaohsiung, Taiwan
[5] Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, Taiwan
关键词
Chronic kidney disease; End-stage renal disease; Cardiovascular markers; Cardiovascular and renal outcomes; LEFT-VENTRICULAR HYPERTROPHY; PULSE-WAVE VELOCITY; ANKLE-BRACHIAL INDEX; STAGE RENAL-DISEASE; PERIPHERAL ARTERIAL-DISEASE; HEART-RATE-VARIABILITY; BLOOD-PRESSURE DIFFERENCE; MITRAL ANNULUS VELOCITY; GLOBAL LONGITUDINAL STRAIN; AORTIC-ARCH CALCIFICATION;
D O I
10.1159/000492953
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Chronic kidney disease (CKD), including end-stage renal disease (ESRD), is a public health issue worldwide, and is associated with high rates of morbidity and mortality. In addition, cardiovascular disease is a major cause of mortality in these patients. Both traditional and nontraditional risk factors associated with CKD can lead to remodeling of the myocardium and blood vessels, thereby resulting in cardiomyopathy, atherosclerosis and arterial stiffness. This can subsequently lead to ischemic heart disease, heart failure, cardiovascular death, rapid renal progression and progression to ESRD. Identifying these risk factors to allow for aggressive preventive and interventional strategies is important for the management of patients with CKD. This aim of this review was to survey the clinical outcomes of CKD using cardiac and vascular markers including echocardiographic parameters, systolic time intervals, electrocardiography, heart rate variability, ankle-brachial index, pulse wave velocity, differences between interarm and interankle blood pressure, and vascular calcification. (C) 2018 The Author(s) Published by S. Karger AG, Basel
引用
收藏
页码:1388 / 1407
页数:20
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