Detection of cardiovascular calcifications: Is it a useful tool for nephrologists?
Por:
Bover J, Górriz JL, Ureña-Torres P, Lloret MJ, Ruiz-García C, daSilva I, Chang P, Rodríguez M and Ballarín J
Publicada:
1 nov 2016
Ahead of Print:
26 ago 2016
Categoría:
Nephrology
Resumen:
Chronic kidney disease (CKD) has been used as a model and source of
knowledge concerning the mechanisms, clinical relevance and accelerated
progression of cardiovascular (CV) calcification, as well as its
consequences in clinical practice, despite we know that it is a late
secondary ossification phenomenon and only circumstantial evidence is
available. In this comprehensive review, we firstly describe the types
of CV calcification which affect CKD patients, and we analyse how its
presence is directly associated with CV events and increased mortality
in these patients. We also justify the use of CV calcification
assessment in regular nephrology clinical practice, because CV
calcification is an important predictor of clinical outcome in these
patients. Consequently, we believe that CV calcification assessment is a
tool that could and should be used by nephrologists when making a
decision concerning individual patients, consistent with the current
trend of an ever-more-personalised therapeutic approach. (C) 2016
Sociedad Espanola de Nefrologia. Published by Elsevier Espana, S.L.U.
Open Access
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