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...

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Autores principales: Shroff, Gautam R, Carlson, Michelle D, Mathew, Roy O
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Radcliffe Cardiology 2021
Materias:
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.
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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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