Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach
Chronic kidney disease and coronary artery disease are co-prevalent conditions with unique epidemiological and pathophysiological features, that culminate in high rates of major adverse cardiovascular outcomes, including all-cause mortality. This review outlines a summary of the literature, and nuan...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Radcliffe Cardiology
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674634/ https://www.ncbi.nlm.nih.gov/pubmed/34950244 http://dx.doi.org/10.15420/ecr.2021.30 |
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author | Shroff, Gautam R Carlson, Michelle D Mathew, Roy O |
author_facet | Shroff, Gautam R Carlson, Michelle D Mathew, Roy O |
author_sort | Shroff, Gautam R |
collection | PubMed |
description | Chronic kidney disease and coronary artery disease are co-prevalent conditions with unique epidemiological and pathophysiological features, that culminate in high rates of major adverse cardiovascular outcomes, including all-cause mortality. This review outlines a summary of the literature, and nuances pertaining to non-invasive risk assessment of this population, medical management options for coronary heart disease and coronary revascularisation. A collaborative heart–kidney team-based approach is imperative for critical management decisions for this patient population, especially coronary revascularisation; this review outlines specific periprocedural considerations pertaining to coronary revascularisation, and provides a proposed algorithm for approaching revascularisation choices in patients with end-stage kidney disease based on available literature. |
format | Online Article Text |
id | pubmed-8674634 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Radcliffe Cardiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-86746342021-12-22 Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach Shroff, Gautam R Carlson, Michelle D Mathew, Roy O Eur Cardiol CVD in CKD Patients Chronic kidney disease and coronary artery disease are co-prevalent conditions with unique epidemiological and pathophysiological features, that culminate in high rates of major adverse cardiovascular outcomes, including all-cause mortality. This review outlines a summary of the literature, and nuances pertaining to non-invasive risk assessment of this population, medical management options for coronary heart disease and coronary revascularisation. A collaborative heart–kidney team-based approach is imperative for critical management decisions for this patient population, especially coronary revascularisation; this review outlines specific periprocedural considerations pertaining to coronary revascularisation, and provides a proposed algorithm for approaching revascularisation choices in patients with end-stage kidney disease based on available literature. Radcliffe Cardiology 2021-12-07 /pmc/articles/PMC8674634/ /pubmed/34950244 http://dx.doi.org/10.15420/ecr.2021.30 Text en Copyright © 2021, Radcliffe Cardiology https://creativecommons.org/licenses/by-nc/4.0/This work is open access under the CC-BY-NC 4.0 License which allows users to copy, redistribute and make derivative works for non-commercial purposes, provided the original work is cited correctly. |
spellingShingle | CVD in CKD Patients Shroff, Gautam R Carlson, Michelle D Mathew, Roy O Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach |
title | Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach |
title_full | Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach |
title_fullStr | Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach |
title_full_unstemmed | Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach |
title_short | Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach |
title_sort | coronary artery disease in chronic kidney disease: need for a heart–kidney team-based approach |
topic | CVD in CKD Patients |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674634/ https://www.ncbi.nlm.nih.gov/pubmed/34950244 http://dx.doi.org/10.15420/ecr.2021.30 |
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