[How to carry out the search of kidney disease in patients with cardiovascular disease?].
Patients with chronic kidney disease are at high risk of cardiovascular disease and should receive intensive risk-reduction therapy. Early detection of albuminuria and chronic kidney disease can identify individuals at increased risk of adverse clinical events and therefore may have a better opportunity to improve their outcomes. The determination of serum creatinine should not be the only parameter used to as renal function. The evaluation of the renal involvement in patients with cardiovascular disease should be done using the determination of albumin in a urine spot test and estimating glomerular filtration from predictive equations derived from creatinine. The MDRD equation is of choice but alternatively the Cockcroft-Gault formula can also be used.
Górriz Teruel
J L
JL
Servicio de Nefrología, Hospital Universitario Dr. Peset, Valencia, Spain. jlgorriz@ono.com
D000419:Albuminuria / Q000150:complications / Q000175:diagnosis; D047228:Angiotensin II Type 1 Receptor Blockers / Q000627:therapeutic use; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D002318:Cardiovascular Diseases / Q000150:complications* / Q000517:prevention & control; D006801:Humans; D007677:Kidney Function Tests; D051437:Renal Insufficiency / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology
D047228:Angiotensin II Type 1 Receptor Blockers; D000806:Angiotensin-Converting Enzyme Inhibitors