Prevention of cardiovascular disease in CKD-A means of improving treatment outcomes.

By: - Dr J.O. Awobusuyi

Consultant Nephrologist Dept. of Medicine LASUTH/LASUCOM IKEJA LAGOS

OUTLINE
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Spectrum of cardiovascular disease in chronic kidney disease. Risk Factors for cardiovascular disease in chronic kidney disease. Clinical evidence (where available) of benefits /efficacy of preventive measures.

The question is why does a 30yr old CRF patient have similar risk of cardiovascular complication as a 70yr old?

Spectrum of cardiovascular disease in chronic kidney disease.

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Diseases affecting the myocardium.

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Left Ventricular Hypertrophy (LVH) Systolic and diastolic dysfunction Congestive Cardiac Failure (CCF) Atherosclerosis Arteriosclerosis

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Diseases affecting the blood vessels.

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Evidence of benefits / efficacy of preventive measures.

How well are we doing in managing cardiovascular risk in patients with chronic kidney disease?

POSSIBLE ANSWERS
Dont know Not too bad Fair Poor

CONCLUSION

CVD is very common in all stages of CKD They contribute significantly to the morbidity and mortality of CKD patients. Available evidence (though few RCTs) support early diagnosis and treatment of CVD risk factors in our CKD patients. Preventing cardiovascular diseases in CKD is a logical step in reducing mortality in this patient population.

THANK YOU