Back to Search
Start Over
Hypertension and cardiomyopathy associated with chronic kidney disease: epidemiology, pathogenesis and treatment considerations.
- Source :
-
Journal of human hypertension [J Hum Hypertens] 2023 Jan; Vol. 37 (1), pp. 1-19. Date of Electronic Publication: 2022 Sep 22. - Publication Year :
- 2023
-
Abstract
- Chronic kidney disease (CKD) is a complex condition with a prevalence of 10-15% worldwide. An inverse-graded relationship exists between cardiovascular events and mortality with kidney function which is independent of age, sex, and other risk factors. The proportion of deaths due to heart failure and sudden cardiac death increase with progression of chronic kidney disease with relatively fewer deaths from atheromatous, vasculo-occlusive processes. This phenomenon can largely be explained by the increased prevalence of CKD-associated cardiomyopathy with worsening kidney function. The key features of CKD-associated cardiomyopathy are increased left ventricular mass and left ventricular hypertrophy, diastolic and systolic left ventricular dysfunction, and profound cardiac fibrosis on histology. While these features have predominantly been described in patients with advanced kidney disease on dialysis treatment, patients with only mild to moderate renal impairment already exhibit structural and functional changes consistent with CKD-associated cardiomyopathy. In this review we discuss the key drivers of CKD-associated cardiomyopathy and the key role of hypertension in its pathogenesis. We also evaluate existing, as well as developing therapies in the treatment of CKD-associated cardiomyopathy.<br /> (© 2022. The Author(s).)
- Subjects :
- Humans
Kidney
Hypertrophy, Left Ventricular epidemiology
Hypertrophy, Left Ventricular etiology
Hypertrophy, Left Ventricular therapy
Renal Insufficiency, Chronic complications
Renal Insufficiency, Chronic epidemiology
Renal Insufficiency, Chronic therapy
Hypertension complications
Hypertension epidemiology
Hypertension therapy
Cardiomyopathies epidemiology
Cardiomyopathies etiology
Cardiomyopathies therapy
Ventricular Dysfunction, Left
Subjects
Details
- Language :
- English
- ISSN :
- 1476-5527
- Volume :
- 37
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of human hypertension
- Publication Type :
- Academic Journal
- Accession number :
- 36138105
- Full Text :
- https://doi.org/10.1038/s41371-022-00751-4