The epidemics of cardiovascular disease in elderly patients with chronic kidney disease -Two facets of the same problem

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• 作者：Adrian Covic ; Paul Gusbeth-Tatomir and David J. A. Goldsmith
• 关键词：Cardiovascular disease ; Chronic kidney disease ; Congestive heart failure ; Elderly ; End ; stage renal disease ; Epidemiology ; Renalism
• 刊名：International Urology and Nephrology
• 出版年：2006
• 出版时间：June, 2006
• 年：2006
• 卷：38
• 期：2
• 页码：371-379
• 全文大小：163 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Nephrology
  Urology and Andrology
  
• 出版者：Springer Netherlands
• ISSN：1573-2584

文摘

There is increasing evidence that even mild renal dysfunction is a novel potent cardiovascular risk factor in the general elderly population. With more severe renal impairment, cardiovascular risk increases proportionately. This issue deserves attention, as chronic kidney disease (CKD) is predominantly a disease of the elderly, and the mean age of end-stage renal disease patients entering dialysis is growing constantly. In the dialysis population, when clinically significant cardiovascular disease (CVD) (particularly congestive heart failure) is present, survival is worse. Thus, every effort should be made to identify and treat cardiovascular risk factor in the early stages of CKD. However, elderly renal patients receive less proper cardiovascular therapy compared to non-renal subjects of the same age. This review deals briefly with the most significant data published in the last decade on CVD in elderly with CKD.