Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart–Kidney Team-Based Approach

Author:

Shroff Gautam R1ORCID,Carlson Michelle D1ORCID,Mathew Roy O2ORCID

Affiliation:

1. Division of Cardiology, Department of Medicine, Hennepin Healthcare & University of Minnesota Medical School, Minneapolis, MN, US

2. Division of Nephrology, Department of Medicine, Columbia VA Health Care System, Columbia, SC, US

Abstract

Chronic kidney disease and coronary artery disease are co-prevalent conditions with unique epidemiological and pathophysiological features, that culminate in high rates of major adverse cardiovascular outcomes, including all-cause mortality. This review outlines a summary of the literature, and nuances pertaining to non-invasive risk assessment of this population, medical management options for coronary heart disease and coronary revascularisation. A collaborative heart–kidney team-based approach is imperative for critical management decisions for this patient population, especially coronary revascularisation; this review outlines specific periprocedural considerations pertaining to coronary revascularisation, and provides a proposed algorithm for approaching revascularisation choices in patients with end-stage kidney disease based on available literature.

Publisher

Radcliffe Group Ltd

Subject

Cardiology and Cardiovascular Medicine

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