Cardiovascular events in chronic dialysis patients: emphasizing the importance of vascular disease prevention.

Int Urol Nephrol 2010 Dec 24;42(4):999-1006. Epub 2010 Jun 24.

Department of Vascular Surgery, Red Cross Hospital, 24, Al. Papagou Street, Athens, Greece.

Cardiovascular disease is the leading cause of death in both chronic kidney disease and peritoneal dialysis/hemodialysis patients. Vascular disease prevention in these patients is therefore important to reduce the incidence of cardiovascular events and the high morbidity and mortality. This Editorial discusses the traditional, (1) smoking, (2) dyslipidemia, (3) body mass index, (4) glycemic control and (5) blood pressure, and non-traditional, (1) anemia, (2) vitamin D/hyperparathyroidism, (3) calcium/phosphorus metabolism and (4) magnesium, risk factors in renal patients. Current evidence does not support routine statin use and antiplatelet medication to dialysis patients. Patient compliance and adherence to proposed measures could be essential to reduce cardiovascular events and mortality rates in this high-risk population.

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http://dx.doi.org/10.1007/s11255-010-9795-7DOI Listing
December 2010
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