Hong Kong Journal of Nephrology
Volume 10, Issue 1 , Pages 7-13, April 2008

Cardiovascular Death in Uremia—More Complex Than We Thought

  • Eberhard Ritz

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Eberhard Ritz, Division of Nephrology, Department of Internal Medicine, Ruprecht Karl University of Heidelberg, Im Neuenheimer Feld 162, D-69115 Heidelberg, Germany.

Division of Nephrology, Department of Internal Medicine, Ruprecht Karl University of Heidelberg, Heidelberg, Germany.

A brief overview is provided of the history of cardiovascular complications in renal disease and the underlying pathomechanisms involved in the acceleration of atherogenesis in the earliest stages of renal malfunction. Coronary artery disease versus cardiomyopathy as the cause of cardiac death in renal patients is discussed. Interventions to attenuate the progression of chronic kidney disease, such as blood pressure lowering, treatment with statins and beta-blockers, and blockade of the renin-angiotensin system, are also covered.

Key words:  cardiovascular risk , chronic kidney disease , hemodialysis

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PII: S1561-5413(08)60013-7

doi:10.1016/S1561-5413(08)60013-7

Hong Kong Journal of Nephrology
Volume 10, Issue 1 , Pages 7-13, April 2008