The renal patient with coronary artery disease: current concepts and dilemmas.
The patient with chronic kidney disease and coronary artery disease (CAD) presents special challenges. This report reviews the scope of the challenge, the hostile internal milieu predisposing to CAD and cardiac events, management issues, unresolved dilemmas, and the need for randomized trials to allow for evidence-based treatment.
Cardiology Division, University of Texas Medical Branch, Galveston 77555-0553, USA.
Rajiv
R
Gupta
Yochai
Y
Birnbaum
Barry F
BF
Uretsky
D015906:Angioplasty, Balloon, Coronary; D015415:Biomarkers / Q000097:blood; D002317:Cardiovascular Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000378:metabolism / Q000601:surgery / Q000628:therapy*; D003404:Creatinine / Q000097:blood; D048909:Diabetes Complications; D003937:Diagnosis, Differential; D004334:Drug Administration Schedule; D006801:Humans; D020138:Hyperhomocysteinemia / Q000150:complications; D006949:Hyperlipidemias / Q000150:complications; D006973:Hypertension / Q000150:complications; D007249:Inflammation / Q000150:complications; D007676:Kidney Failure, Chronic / Q000097:blood / Q000150:complications* / Q000378:metabolism*; D008403:Mass Screening; D018384:Oxidative Stress; D011237:Predictive Value of Tests; D015995:Prevalence; D015203:Reproducibility of Results; D012307:Risk Factors; D017211:Treatment Failure; D014481:United States / Q000453:epidemiology
D015415:Biomarkers; D002317:Cardiovascular Agents; D003404:Creatinine