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September 22, 2022Journal of Human HypertensionOpen Access

Hypertension and cardiomyopathy associated with chronic kidney disease: epidemiology, pathogenesis and treatment considerations

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Why the study?

Heart failure and sudden cardiac death increase with CKD progression largely due to CKD-associated cardiomyopathy, which is driven by hypertension and presents even in mild to moderate renal impairment.

Design

Review

Key result

Hypertension is a primary driver in the pathogenesis of chronic kidney disease-associated cardiomyopathy, which is characterized by left ventricular hypertrophy, dysfunction, and myocardial fibrosis.

Authors

JLJonathan P. LawLPLuke PickupDPDavor Pavlović

Discussion

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Member takes

Overview

Supports prioritizing hypertension control in CKD cardiomyopathy; leaves open optimal strategies for fibrosis and dysfunction.

Structured PICO

P
Population
Patients with chronic kidney disease (CKD) and associated cardiomyopathy
I
Intervention
Existing and developing therapies for CKD-associated cardiomyopathy

This review summarizes the epidemiology, pathogenesis, and treatment of CKD-associated cardiomyopathy, emphasizing the central role of hypertension.

Limitations

  • Myocardial biopsies to study fibrosis in CKD are ethically difficult to justify.
  • Many existing trials on treatments for CKD-associated cardiomyopathy are of short duration, have small sample sizes, and carry a high risk of bias with sparse mortality data.

Cite This Study

Law et al. (2022) conducted a review in Chronic kidney disease-associated cardiomyopathy and hypertension. Hypertension is a primary driver in the pathogenesis of chronic kidney disease-associated cardiomyopathy, which is characterized by left ventricular hypertrophy, dysfunction, and myocardial fibrosis.

synapsesocial.com/papers/6a0ee2bdaa1655e5fb22f3f6https://doi.org/10.1038/s41371-022-00751-4
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