Kidney dysfunction: a sensitive predictor of cardiovascular risk.
Changes in renal function can be detected in patients suffering from essential hypertension and heart failure. Detection of an increased serum creatinine, a decreased creatinine clearance and of proteinuria or microalbuminuria in hypertensive patients; and the finding of a diminution in the value of estimated creatinine clearance in heart failure patients are very potent predictors for a worse outcome of the patient. The parameters commonly used to evaluate renal function have to be considered in any stratification of cardiovascular risk in hypertensive and heart failure patients.
Ruilope
L M
LM
Unidad de Hipertensión, Hospital 12 de Octubre, Madrid, Spain. Luis_M_Ruilope@teleline.es
D002303:Cardiac Output, Low / Q000150:complications / Q000503:physiopathology; D002318:Cardiovascular Diseases / Q000209:etiology*; D005544:Forecasting; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000503:physiopathology; D007674:Kidney Diseases / Q000150:complications*; D012307:Risk Factors; D012680:Sensitivity and Specificity