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Journal ArticleDOI

Blood pressure and not uraemia is the major determinant of arterial stiffness and endothelial dysfunction in patients with chronic kidney disease and minimal co-morbidity

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TLDR
It is suggested that declining renal function, in the absence of significant co-morbidity, is associated with progressive arterial stiffness, but only patients close to dialysis exhibit endothelial dysfunction, in this non-comorbid cohort.
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This article is published in Atherosclerosis.The article was published on 2011-05-01. It has received 73 citations till now. The article focuses on the topics: Kidney disease & Arterial stiffness.

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Citations
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Journal ArticleDOI

Arterial stiffness and pulse pressure in CKD and ESRD

TL;DR: Premature vascular aging and arterial stiffening are observed with progression of chronic kidney disease and in end-stage renal disease and this accelerated aging is associated with outward remodeling of large vessels, characterized by increased arterial radius not totally compensated for by artery wall hypertrophy.
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Endothelin and endothelin antagonists in chronic kidney disease

TL;DR: The role of ET in CKD pathogenesis is summarized and the potential therapeutic benefit of targeting the ET system in CKd is discussed, with attention to the risks and benefits of such an approach.
Journal ArticleDOI

Arterial disease in chronic kidney disease

TL;DR: End stage renal disease is associated with a very high risk of premature cardiovascular death and morbidity and recent work has highlighted the importance of aldosterone and disordered bone mineral metabolism.
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Endothelial dysfunction and cardiovascular disease in early-stage chronic kidney disease: Cause or association?

TL;DR: Examining changes in endothelial function in living kidney donors before and after nephrectomy might be gained into the pathophysiology of CVD in CKD and help determine whether targeting ED or the renal disease itself has the potential to reduce CV risk.
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Pulmonary hypertension in patients with chronic and end-stage kidney disease

TL;DR: The pathogenesis of pulmonary hypertension in this population is due to alterations in endothelial function, increased cardiac output, and myocardial dysfunction leading to elevated left heart filling pressure, with recent data suggesting that left heart dysfunction may account for the vast majority ofmonary hypertension in patients with kidney disease.
References
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Journal Article

K/DOQI clinical practice guidelines for chronic kidney disease: Evaluation, classification, and stratification

TL;DR: In the early 1990s, the National Kidney Foundation (K/DOQI) developed a set of clinical practice guidelines to define chronic kidney disease and to classify stages in the progression of kidney disease.
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Kidney disease as a risk factor for development of cardiovascular disease: a statement from the American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology, and Epidemiology and Prevention.

TL;DR: There was a high prevalence of CVD in CKD and that mortality due to CVD was 10 to 30 times higher in dialysis patients than in the general population, and the task force recommended that patients with CKD be considered in the “highest risk group” for subsequent CVD events.
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Impact of Aortic Stiffness on Survival in End-Stage Renal Disease

TL;DR: These results provide the first direct evidence that in patients with ESRD, increased aortic stiffness determined by measurement of aorta pulse-wave velocity is a strong independent predictor of all-cause and mainly cardiovascular mortality.
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