Document Detail


The contribution of early nephropathy to cardiovascular risk.
MedLine Citation:
PMID:  20621247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with an estimated glomerular filtration rate (eGFR) of less than 60 mL/min per 1.72 m(2), and presence of microalbuminuria (MA), have an increased risk of cardiovascular (CV) events, compared with patients with normal renal function. The strength of the association among patients with a mild reduction in eGFR depends largely on the population studied, whereas the data regarding MA show an elevated risk among both low- and high-risk populations. Patients with mildly reduced eGFR or MA experience a reduction in CV events and progression of renal disease with treatment of CV risk factors. For patients who experience a myocardial infarction, observational data suggest that patients with a mildly reduced eGFR also have improved outcomes with an early invasive strategy, compared with a noninvasive strategy. However, whether targeting therapy to normalize renal function also confers a reduction in CV events remains unknown.
Authors:
Tamar S Polonsky; Francesco Locatelli
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiology clinics     Volume:  28     ISSN:  1558-2264     ISO Abbreviation:  Cardiol Clin     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-12     Completed Date:  2010-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8300331     Medline TA:  Cardiol Clin     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  427-36     Citation Subset:  IM    
Copyright Information:
2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Preventive Medicine, Northwestern University, Chicago, IL 60611, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Albuminuria / complications*,  epidemiology,  therapy
Cardiovascular Diseases / complications*,  drug therapy,  epidemiology*
Confounding Factors (Epidemiology)
Europe / epidemiology
Female
Glomerular Filtration Rate
Humans
Kidney Diseases / complications*,  diagnosis,  epidemiology,  urine
Male
Middle Aged
Prevalence
United States / epidemiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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