| Vascular imaging in chronic kidney disease. | |
| | |
MedLine Citation:
|
PMID: 22531162 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE OF REVIEW: The chronic kidney disease (CKD) mineral bone disorder syndrome encompasses a number of metabolic, bone as well as vascular abnormalities of which vascular calcification is a prominent feature. Several noninvasive imaging techniques provide physicians with useful prognostic information beyond traditional cardiovascular and CKD-specific risk factors. We review the most recent evidence on vascular calcification screening as a tool for risk stratification in CKD patients. RECENT FINDINGS: Cardiovascular aging is accelerated and is associated with a poor prognosis in CKD patients. Numerous traditional and nontraditional risk factors have been associated with this outcome. Imaging markers and serological risk factors do not carry the same prognostic information. In fact, whereas serum biomarkers reflect the risk to which the individual is exposed at the time of measurement, imaging markers represent the cumulative result of prolonged exposure to one or multiple risk factors. As such, they have often been demonstrated to be better outcome predictors than serological markers. In some cases, imaging markers have been suggested as desirable targets of therapy or to guide treatment individualization. SUMMARY: Recent evidence suggests that cardiovascular imaging allows for cardiovascular risk stratification and treatment individualization in CKD patients. |
| | |
Authors:
|
Antonio Bellasi; Paolo Raggi |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
|
Title: Current opinion in nephrology and hypertension Volume: 21 ISSN: 1473-6543 ISO Abbreviation: Curr. Opin. Nephrol. Hypertens. Publication Date: 2012 Jul |
Date Detail:
|
Created Date: 2012-06-01 Completed Date: 2012-10-03 Revised Date: 2013-05-02 |
Medline Journal Info:
|
Nlm Unique ID: 9303753 Medline TA: Curr Opin Nephrol Hypertens Country: England |
Other Details:
|
Languages: eng Pagination: 382-8 Citation Subset: IM |
Affiliation:
|
Division of Nephrology, Sant' Anna Hospital, Como, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Animals Arteries / metabolism, pathology*, physiopathology Biological Markers / blood Chronic Disease Diagnostic Imaging* / methods Disease Progression Humans Kidney Diseases / complications*, therapy Predictive Value of Tests Prognosis Risk Assessment Risk Factors Vascular Calcification / blood, diagnosis*, etiology, physiopathology, prevention & control |
| Chemical | |
Reg. No./Substance:
|
0/Biological Markers |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bone disease in CKD.
Next Document: Fibroblast growth factor 23 and the heart.