Cardiovascular disease risk assessment, exercise training, and management of complications in patients with chronic kidney disease
Patients with chronic kidney disease are at high and very high risk of cardiovascular disease. As estimated glomerular filtration rate declines, the incidence and severity of risk factors, complications, and atherosclerotic cardiovascular events increase. In this scenario, tailored assessment is the...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | International Journal of Cardiology. Cardiovascular Risk and Prevention |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772487525000248 |
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| author | Francesco Perone Marco Bernardi Monica Loguercio Francesca Jacoangeli Silvia Velardi Theodora Metsovitis Federica Ramondino Matteo Ruzzolini Marco Ambrosetti |
| author_facet | Francesco Perone Marco Bernardi Monica Loguercio Francesca Jacoangeli Silvia Velardi Theodora Metsovitis Federica Ramondino Matteo Ruzzolini Marco Ambrosetti |
| author_sort | Francesco Perone |
| collection | DOAJ |
| description | Patients with chronic kidney disease are at high and very high risk of cardiovascular disease. As estimated glomerular filtration rate declines, the incidence and severity of risk factors, complications, and atherosclerotic cardiovascular events increase. In this scenario, tailored assessment is the key to evaluate the severity of chronic kidney disease and estimate cardiovascular disease risk. Personalized stratification differentiates patients with chronic kidney disease without diabetes mellitus or established atherosclerotic cardiovascular disease in their management and beneficial treatment. Exercise intensity assessment and prescription is suggested to propose specific and safe recommendations for physical activity, training, and cardiac rehabilitation. Programs are based on a combination of endurance and resistance exercise and should be adapted to very high risk chronic kidney disease and haemodialysis patients and after kidney transplantation. Appropriate management of cardiovascular complications in these patients, such as risk factors, heart failure, arrhythmias, and coronary artery disease, is essential to ensure the best treatment and improve the prognosis. Therefore, we propose a critical and comprehensive review to suggest how to manage patients with chronic kidney disease in clinical practice and, specifically, with regard to cardiovascular risk assessment, exercise training prescription, and management of complications. |
| format | Article |
| id | doaj-art-200a0e89a52e47cc9bd4b7ce31cd552c |
| institution | DOAJ |
| issn | 2772-4875 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| spelling | doaj-art-200a0e89a52e47cc9bd4b7ce31cd552c2025-08-20T03:09:44ZengElsevierInternational Journal of Cardiology. Cardiovascular Risk and Prevention2772-48752025-06-012520038610.1016/j.ijcrp.2025.200386Cardiovascular disease risk assessment, exercise training, and management of complications in patients with chronic kidney diseaseFrancesco Perone0Marco Bernardi1Monica Loguercio2Francesca Jacoangeli3Silvia Velardi4Theodora Metsovitis5Federica Ramondino6Matteo Ruzzolini7Marco Ambrosetti8Cardiac Rehabilitation Unit, Rehabilitation Clinic “Villa delle Magnolie”, Castel Morrone, 81020, Caserta, Italy; Corresponding author.Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, ItalyCardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital, Rivolta D'Adda, ItalyCardiologia riabilitativa e prevenzione patologie cardiovascolari, USL Umbria1, Perugia, ItalyDivision of Cardiology, University Magna Graecia, Catanzaro, ItalyCatholic University of the Sacred Heart, Rome, ItalyS.C. di Medicina Interna, Azienda Socio Sanitaria Territoriale (ASST) della Brianza, Presidio Ospedaliero di Vimercate, Vimercate, ItalyCardiology Department, Isola Tiberina-Gemelli Isola Hospital, Rome, ItalyCardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital, Rivolta D'Adda, ItalyPatients with chronic kidney disease are at high and very high risk of cardiovascular disease. As estimated glomerular filtration rate declines, the incidence and severity of risk factors, complications, and atherosclerotic cardiovascular events increase. In this scenario, tailored assessment is the key to evaluate the severity of chronic kidney disease and estimate cardiovascular disease risk. Personalized stratification differentiates patients with chronic kidney disease without diabetes mellitus or established atherosclerotic cardiovascular disease in their management and beneficial treatment. Exercise intensity assessment and prescription is suggested to propose specific and safe recommendations for physical activity, training, and cardiac rehabilitation. Programs are based on a combination of endurance and resistance exercise and should be adapted to very high risk chronic kidney disease and haemodialysis patients and after kidney transplantation. Appropriate management of cardiovascular complications in these patients, such as risk factors, heart failure, arrhythmias, and coronary artery disease, is essential to ensure the best treatment and improve the prognosis. Therefore, we propose a critical and comprehensive review to suggest how to manage patients with chronic kidney disease in clinical practice and, specifically, with regard to cardiovascular risk assessment, exercise training prescription, and management of complications.http://www.sciencedirect.com/science/article/pii/S2772487525000248Chronic kidney diseaseCardiovascular diseaseRisk assessmentExercise trainingPhysical activityCardiac rehabilitation |
| spellingShingle | Francesco Perone Marco Bernardi Monica Loguercio Francesca Jacoangeli Silvia Velardi Theodora Metsovitis Federica Ramondino Matteo Ruzzolini Marco Ambrosetti Cardiovascular disease risk assessment, exercise training, and management of complications in patients with chronic kidney disease International Journal of Cardiology. Cardiovascular Risk and Prevention Chronic kidney disease Cardiovascular disease Risk assessment Exercise training Physical activity Cardiac rehabilitation |
| title | Cardiovascular disease risk assessment, exercise training, and management of complications in patients with chronic kidney disease |
| title_full | Cardiovascular disease risk assessment, exercise training, and management of complications in patients with chronic kidney disease |
| title_fullStr | Cardiovascular disease risk assessment, exercise training, and management of complications in patients with chronic kidney disease |
| title_full_unstemmed | Cardiovascular disease risk assessment, exercise training, and management of complications in patients with chronic kidney disease |
| title_short | Cardiovascular disease risk assessment, exercise training, and management of complications in patients with chronic kidney disease |
| title_sort | cardiovascular disease risk assessment exercise training and management of complications in patients with chronic kidney disease |
| topic | Chronic kidney disease Cardiovascular disease Risk assessment Exercise training Physical activity Cardiac rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2772487525000248 |
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