Cardiac Mortality in Chronic Kidney Disease: A Clearer Perspective

Editorials1 October 2002Cardiac Mortality in Chronic Kidney Disease: A Clearer PerspectiveRaymond R. Townsend, MDRaymond R. Townsend, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-137-7-200210010-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Cardiovascular disease remains public health enemy number one. Efforts to reduce deaths from coronary artery disease have generally taken two routes: prevention and treatment. The prevention route aims to identify and manage, when possible, persons who have risk factors for the processes that obstruct the coronary lifelines. The treatment route focuses on the development of strategies to salvage jeopardized myocardium through reperfusion, which, in turn, reduces the short- and long-term morbidity and mortality from coronary thrombosis. In this issue, two articles address both routes, emphasizing the role of impaired kidney function as a risk factor for heart attack and indicating ...References1. Wright RS, Reeder GS, Herzog CA, Albright RC, Williams BA, Dvorak DL, et al . Acute myocardial infarction and renal dysfunction: a high-risk combination. Ann Intern Med. 2002;137:563-70. LinkGoogle Scholar2. Shlipak MG, Heidenreich PA, Noguchi H, Chertow GM, Browner WS, McClellan MB. Association of renal insufficiency with treatment and outcomes after myocardial infarction in elderly patients. Ann Intern Med. 2002;137:555-62. LinkGoogle Scholar3. Herzog CA, Ma JZ, Collins AJ. Poor long-term survival after acute myocardial infarction among patients on long-term dialysis. N Engl J Med. 1998;339:799-805. [PMID: 9738087] CrossrefMedlineGoogle Scholar4. Goldberg RJ, Yarzebski J, Lessard D, Gore JM. A two-decades (1975 to 1995) long experience in the incidence, in-hospital and long-term case-fatality rates of acute myocardial infarction: a community-wide perspective. J Am Coll Cardiol. 1999;33:1533-9. [PMID: 10334419] CrossrefMedlineGoogle Scholar5. Jones CA, McQuillan GM, Kusek JW, Eberhardt MS, Herman WH, Coresh J, et al . Serum creatinine levels in the US population: third National Health and Nutrition Examination Survey. Am J Kidney Dis. 1998;32:992-9. [PMID: 9856515] CrossrefMedlineGoogle Scholar6. Rudnick MR, Berns JS, Cohen RM, Goldfarb S. Contrast media-associated nephrotoxicity. Semin Nephrol. 1997;17:15-26. [PMID: 9000546] MedlineGoogle Scholar7. Eberst ME, Berkowitz LR. Hemostasis in renal disease: pathophysiology and management. Am J Med. 1994;96:168-79. [PMID: 8109602] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Corresponding Author: Raymond R. Townsend, MD, Renal–Electrolyte and Hypertension Division, University of Pennsylvania Health System, 210 White Building, 3400 Spruce Street, Philadelphia, PA 19104; e-mail, [email protected]med.upenn.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation of Renal Insufficiency with Treatment and Outcomes after Myocardial Infarction in Elderly Patients Michael G. Shlipak , Paul A. Heidenreich , Haruko Noguchi , Glenn M. Chertow , Warren S. Browner , and Mark B. McClellan Acute Myocardial Infarction and Renal Dysfunction: A High-Risk Combination R. Scott Wright , Guy S. Reeder , Charles A. Herzog , Robert C. Albright , Brent A. Williams , David L. Dvorak , Wayne L. Miller , Joseph G. Murphy , Stephen L. Kopecky , and Allan S. Jaffe Metrics Cited byAspirin and the Prevention of Cardiovascular Disease in Chronic Kidney DiseaseThe impact of transient and persistent acute kidney injury on long-term outcomes after acute myocardial infarctionAspirin Prescription and Outcomes in Hemodialysis Patients: The Dialysis Outcomes and Practice Patterns Study (DOPPS)Peripheral Arterial Disease: A Guide for NephrologistsInhospital and 1-year mortality of patients who develop worsening renal function following acute ST-elevation myocardial infarctionCardiac surgery in end-stage renal failure patients 1 October 2002Volume 137, Issue 7Page: 615-616KeywordsAcute myocardial infarctionChronic kidney diseaseCreatinineKidneysMedical dialysisMedical risk factorsMortalityMyocardial infarctionRenal failureReperfusion ePublished: 1 October 2002 Issue Published: 1 October 2002 Copyright & PermissionsCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...

Topic: Heart Failure Treatment and Management
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences