Cardiovascular Events Hike CKD Patients' ESRD Risk
Heart failure, myocardial infarction, or stroke also increase the risk of death prior to ESRD.
A team led by David Naimark, MD, of the University of Toronto, conducted a retrospective study of 2,964 patients referred to a nephrology clinic at Sunnybrook Health Sciences Centre in Toronto. Cardiovascular (CV) events (heart failure, myocardial infarction, or stroke) occurred in 447 patients (15%) and ESRD developed in 318 (11%), according to findings published online ahead of print in Circulation. In addition, 446 patients (15%) died prior to ESRD. A CV event increased patients' risk of ESRD and all-cause mortality (ACM) prior to ESRD by 5.3 times and 4.1 times, respectively.
“CV events are common patients with CKD stages 3-5 and are associated with a substantial increase in the risk of ESRD and ACM prior to ESRD,” the authors concluded. “Intensive primary and secondary prevention strategies may help attenuate this risk.”