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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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2021-12-01
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| Series: | European Cardiology Review |
| Online Access: | https://www.ecrjournal.com/articleindex/ecr.2021.30 |
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| _version_ | 1850104645937004544 |
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| author | Gautam R Shroff Michelle D Carlson Roy O Mathew |
| author_facet | Gautam R Shroff Michelle D Carlson Roy O Mathew |
| author_sort | Gautam R Shroff |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-9351ffc3566b4f6b999fa6f690f76754 |
| institution | DOAJ |
| issn | 1758-3756 1758-3764 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | European Cardiology Review |
| spelling | doaj-art-9351ffc3566b4f6b999fa6f690f767542025-08-20T02:39:16ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642021-12-011610.15420/ecr.2021.30Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based ApproachGautam R Shroff0Michelle D Carlson1Roy O Mathew2Division of Cardiology, Department of Medicine, Hennepin Healthcare & University of Minnesota Medical School, Minneapolis, MN, USDivision of Cardiology, Department of Medicine, Hennepin Healthcare & University of Minnesota Medical School, Minneapolis, MN, USDivision of Nephrology, Department of Medicine, Columbia VA Health Care System, Columbia, SC, USChronic 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.https://www.ecrjournal.com/articleindex/ecr.2021.30 |
| spellingShingle | Gautam R Shroff Michelle D Carlson Roy O Mathew Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach European Cardiology Review |
| 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 |
| url | https://www.ecrjournal.com/articleindex/ecr.2021.30 |
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