Blog entry by Meguid El Nahas
The World Kidney Day 2011 to be held on March the 11th has the Motto: Protect Your Kidneys, Save Your Heart stressing the important link between CKD and CVD.
Editorials have appeared in all major Nephrology journals by Bill Couser and Miguel Riella stressing this link. It is now well established that CKD patients; those with albuminuria and those with reduced eGFR are at increased risk of CVD morbidity and mortality. Many argue that this is secondary to CKD with the involvement of traditional and non-traditional CVD risk factors in CKD.
An opposite veiw would argue that CKD and CVD are one and the same; Older patients affected by CKD most often have underlying CVD causing the albuminuria and the renal dysfunction. The more severe the underlying systemic CVD the more severe the renal involvement; heavier albuminuria and lower eGFR. So it is not surprising that CKD is a marker of CVD and therefore predicts poor outcome.
This is why I put forward a unifying concept, that of C-K-D: Cardio-Kidney-Damage to explain the similarities between CVD and CKD with the latter representing one of many endorgans damage caused by the former.
The 2011 Motto could read: Protect Your Heart, Save Your Kidneys