Advances in the Cardiovascular Assessment of Patients with Chronic Kidney Disease

Overview

Journal NDT Plus

Publisher Oxford University Press

Specialty Nephrology

Date 2017 Jun 29

PMID 28657024

Citations 10

Authors

Chris W McIntyre

Stephen G John

Helen J Jefferies

Affiliations

Soon will be listed here.

Abstract

Cardiovascular mortality is grossly elevated in patients with chronic kidney disease (CKD), and is associated with a wide variety of structural and functional abnormalities. These issues have driven additional attempts to further characterise these abnormalities to elucidate the pathophysiology involved, assess individual risk and/or target and monitor therapies specifically directed at the cardiovascular (CV) system. This review aims to assess the techniques that are currently available for the study of the CV system. This includes conventional assessments of the whole CV system from heart to peripheral microcirculation (although not deal with VC assessment), as well as the key functional consequences relating to stress induced cardiovascular reserve, perfusion and vasoregulation. In addition this review will introduce a variety of techniques aiming to expand the envelope of conventional measurements.

Citing Articles

Echocardiographic manifestations in end-stage renal disease.

Ito T, Akamatsu K Heart Fail Rev. 2023; 29(2):465-478.

PMID: 38071738 DOI: 10.1007/s10741-023-10376-5.

Non-invasive intradialytic percutaneous perfusion monitoring: a view to the heart through the skin.

Penny J, Hur L, Salerno F, Wong D, Jan M, McIntyre C Front Nephrol. 2023; 3:1124130.

PMID: 37675381 PMC: 10479609. DOI: 10.3389/fneph.2023.1124130.

Implications of uremic cardiomyopathy for the practicing clinician: an educational review.

Hiraiwa H, Kasugai D, Okumura T, Murohara T Heart Fail Rev. 2023; 28(5):1129-1139.

PMID: 37173614 PMC: 10403419. DOI: 10.1007/s10741-023-10318-1.

Hypoxia during maintenance hemodialysis-the critical role of pH.

McGuire S, Krishnan N, Malik A, Waddell A, Russell S, Denton F Clin Kidney J. 2023; 16(2):262-271.

PMID: 36755842 PMC: 9900580. DOI: 10.1093/ckj/sfac191.

The Added Value of Atrial Strain Assessment in Clinical Practice.

Molnar A, Merkely B Diagnostics (Basel). 2022; 12(4).

PMID: 35454030 PMC: 9025202. DOI: 10.3390/diagnostics12040982.

References

Wei K, Kaul S . The coronary microcirculation in health and disease. Cardiol Clin. 2004; 22(2):221-31. DOI: 10.1016/j.ccl.2004.02.005. View

Economides P, Caselli A, Zuo C, Sparks C, Khaodhiar L, Katsilambros N . Kidney oxygenation during water diuresis and endothelial function in patients with type 2 diabetes and subjects at risk to develop diabetes. Metabolism. 2004; 53(2):222-7. DOI: 10.1016/j.metabol.2003.09.019. View

Chesterton L, Sigrist M, Bennett T, Taal M, McIntyre C . Reduced baroreflex sensitivity is associated with increased vascular calcification and arterial stiffness. Nephrol Dial Transplant. 2005; 20(6):1140-7. DOI: 10.1093/ndt/gfh808. View

Smith S, Potter J, Samani N, Sammons E, Rathbone W, Bentley S . Are baroreflex events detected by invasive and non-invasive techniques coincident?. Clin Physiol Funct Imaging. 2008; 28(4):262-9. DOI: 10.1111/j.1475-097X.2008.00803.x. View

Burton J, Jefferies H, Selby N, McIntyre C . Hemodialysis-induced cardiac injury: determinants and associated outcomes. Clin J Am Soc Nephrol. 2009; 4(5):914-20. PMC: 2676185. DOI: 10.2215/CJN.03900808. View

Pignocchino P, Conte M, Scarnato S, Grande A . [Study of cutaneous microcirculation using the laser-Doppler method in syndrome X]. Cardiologia. 1994; 39(3):193-7. View

Zoccali C, Benedetto F, Tripepi G, Mallamaci F, Rapisarda F, Seminara G . Left ventricular systolic function monitoring in asymptomatic dialysis patients: a prospective cohort study. J Am Soc Nephrol. 2006; 17(5):1460-5. DOI: 10.1681/ASN.2005111240. View

Ragosta M, Samady H, Isaacs R, Gimple L, Sarembock I, Powers E . Coronary flow reserve abnormalities in patients with diabetes mellitus who have end-stage renal disease and normal epicardial coronary arteries. Am Heart J. 2004; 147(6):1017-23. DOI: 10.1016/j.ahj.2003.07.029. View

Cavalcanti S, Severi S, Chiari L, Avanzolini G, Enzmann G, Bianco G . Autonomic nervous function during haemodialysis assessed by spectral analysis of heart-rate variability. Clin Sci (Lond). 1997; 92(4):351-9. DOI: 10.1042/cs0920351. View

10.

Engoren M, Barbee D . Comparison of cardiac output determined by bioimpedance, thermodilution, and the Fick method. Am J Crit Care. 2004; 14(1):40-5. View

11.

La Rovere M, Pinna G, Raczak G . Baroreflex sensitivity: measurement and clinical implications. Ann Noninvasive Electrocardiol. 2008; 13(2):191-207. PMC: 6931942. DOI: 10.1111/j.1542-474X.2008.00219.x. View

12.

Oki T, Tabata T, Yamada H, Wakatsuki T, Shinohara H, Nishikado A . Clinical application of pulsed Doppler tissue imaging for assessing abnormal left ventricular relaxation. Am J Cardiol. 1997; 79(7):921-8. DOI: 10.1016/s0002-9149(97)00015-5. View

13.

Herzog C, Marwick T, Pheley A, White C, Rao V, Dick C . Dobutamine stress echocardiography for the detection of significant coronary artery disease in renal transplant candidates. Am J Kidney Dis. 1999; 33(6):1080-90. DOI: 10.1016/S0272-6386(99)70145-9. View

14.

Laude D, Elghozi J, Girard A, Bellard E, Bouhaddi M, Castiglioni P . Comparison of various techniques used to estimate spontaneous baroreflex sensitivity (the EuroBaVar study). Am J Physiol Regul Integr Comp Physiol. 2003; 286(1):R226-31. DOI: 10.1152/ajpregu.00709.2002. View

15.

Stewart J, Kohen A, Brouder D, Rahim F, Adler S, Garrick R . Noninvasive interrogation of microvasculature for signs of endothelial dysfunction in patients with chronic renal failure. Am J Physiol Heart Circ Physiol. 2004; 287(6):H2687-96. DOI: 10.1152/ajpheart.00287.2004. View

16.

Johansson M, Gao S, Friberg P, Annerstedt M, Carlstrom J, Ivarsson T . Baroreflex effectiveness index and baroreflex sensitivity predict all-cause mortality and sudden death in hypertensive patients with chronic renal failure. J Hypertens. 2006; 25(1):163-8. DOI: 10.1097/01.hjh.0000254377.18983.eb. View

17.

Notomi Y, Setser R, Shiota T, Martin-Miklovic M, Weaver J, Popovic Z . Assessment of left ventricular torsional deformation by Doppler tissue imaging: validation study with tagged magnetic resonance imaging. Circulation. 2005; 111(9):1141-7. DOI: 10.1161/01.CIR.0000157151.10971.98. View

18.

Shimizu G, Hirota Y, Kita Y, Kawamura K, Saito T, Gaasch W . Left ventricular midwall mechanics in systemic arterial hypertension. Myocardial function is depressed in pressure-overload hypertrophy. Circulation. 1991; 83(5):1676-84. DOI: 10.1161/01.cir.83.5.1676. View

19.

Wijns W, Vatner S, Camici P . Hibernating myocardium. N Engl J Med. 1998; 339(3):173-81. DOI: 10.1056/NEJM199807163390307. View

20.

Kardos A, Rudas L, Simon J, Gingl Z, Csanady M . Effect of postural changes on arterial baroreflex sensitivity assessed by the spontaneous sequence method and Valsalva manoeuvre in healthy subjects. Clin Auton Res. 1997; 7(3):143-8. DOI: 10.1007/BF02308842. View