2014年5月16日星期五

Chronic Kidney Disease Aggravates Cardiovascular Disease

The death rate of those people who have Chronic Kidney Disease (CKD) and cardiovascular disease together is 10~30 times higher than that of common people. An epidemic research demonstrates that 8% of people (esp. senior citizens) have chronic renal insufficiency. Among them, cardiovascular diseases are the most common complications, and the heavier the renal insufficiency is, the higher the morbidity of cardiovascular disease will be.
Traditional influencing factors such as Hypertension, Hyperlipidemia, Diabetes and smoking still indicate a poor prognosis among sufferers with Chronic Kidney Disease. Moreover, the influence of high blood pressure on sufferers with Chronic Kidney Disease may be much higher. They often have an elevated homocysteine, oxidative stress, disordered lipid metabolism, increased inflammation markers, and abnormal metabolism of calcium and phosphorus, which reduce the smoothness of blood vessels so as to promote the formation of atherosclerosis.
In the development process, diabetes sufferers always have Chronic Kidney Disease. Clinical cases illustrate that when Diabetic Nephropathy sufferers have micro-albumin in their urine, they are always accompanied with uncontrolled glucose, high blood pressure, carotid artery incrassation and other types of coronary disease. The death rate of those who have micro-albumin urine together with diabetes is higher than that of those who have no micro-albumin urine. They are very likely to die from myocardial infarction, apoplexy or other cardiovascular diseases, because they have more risk factors such as obstructed function of endothelium, abnormal fibrinolysis coagulation syImmunotherapy and inflammation. Also, micro-albumin urine may indicate renal insufficiency.
The morbidity of myocardosis among sufferers with Chronic Kidney Disease is also very high. High blood pressure and atherosclerosis lead to the incrassation of left ventricular. In addition, Anemia and arteriovenous fistula can cause excessive volume load. These abnormal changes in heart structure will arouse obstruction in ventricle, with heart failure and myocardial ischemia as its clinical manifestations. In particular, those people who are undergoing dialysis often have Hypertension or Hypotension because of water and sodium retention. Heart failure is the manifestation of severe cardiovascular disease and is a risk factor for a poor prognosis.

Cardiovascular Disease is a most common and serious complication of Chronic Kidney Disease. In order to prevent cardiovascular diseases, Chronic Kidney Disease should be treated effectively and fundamentally to remit the risk factors in causing cardiovascular diseases.

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