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Title: Cardiovascular biomarkers in CKD: pathophysiology and implications for clinical management of cardiac disease.
Austin Authors: Roberts, Matthew A;Hare, David L ;Ratnaike, Sujiva;Ierino, Francesco L
Affiliation: Department of Nephrology, Division of Laboratory Medicine, Austin Health, University of Melbourne, Victoria, Australia
Issue Date: 1-Sep-2006
Publication information: American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation; 48(3): 341-60
Abstract: Cardiovascular disease (CVD) is a major cause of morbidity and mortality in patients with all forms of chronic kidney disease (CKD). The underlying pathological state is caused by a complex interplay of traditional and nontraditional risk factors that results in atherosclerosis, arteriosclerosis, and altered cardiac morphological characteristics. This multifactorial disease introduces new challenges in predicting and treating patients with CVD sufficiently early in the course of CKD to positively alter patient outcome. Asymptomatic individuals with progressive CVD are a group of patients that deserve focused attention because early detection and intervention may provide the best opportunity for improved outcome. However, identifying CVD in asymptomatic patients with CKD or end-stage renal disease remains a significant hurdle in the management of these patients. Recently, a number of cardiovascular biomarkers were identified as predictors of patient outcome in individuals with CVD and, with additional research, may be used to guide the early diagnosis of and therapy for CVD in patients with CKD. This review examines the pathophysiological characteristics and potential clinical role of these novel cardiovascular biomarkers in risk stratification, risk monitoring, and selection of preventive therapies for patients with CKD.
Gov't Doc #: 16931208
DOI: 10.1053/j.ajkd.2006.06.005
ORCID: 0000-0001-9554-6556
Journal: American journal of kidney diseases : the official journal of the National Kidney Foundation
PubMed URL: 16931208
Type: Journal Article
Subjects: Biological Markers.analysis
Bone Marrow.physiology
Cardiovascular Diseases.etiology.physiopathology.therapy
Chronic Disease
Kidney Diseases.complications
Kidney Transplantation
Oxidative Stress
Platelet Activation
Risk Assessment
Ventricular Function, Left
Appears in Collections:Journal articles

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