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Review
. 2021 Dec 7:16:e48.
doi: 10.15420/ecr.2021.30. eCollection 2021 Feb.

Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart-Kidney Team-Based Approach

Gautam R Shroff  1 , Michelle D Carlson  1 , Roy O Mathew  2
Affiliations
Review

Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart-Kidney Team-Based Approach

Gautam R Shroff et al. Eur Cardiol. .

Abstract

Chronic kidney disease and coronary artery disease are co-prevalent conditions with unique epidemiological and pathophysiological features, that culminate in high rates of major adverse cardiovascular outcomes, including all-cause mortality. This review outlines a summary of the literature, and nuances pertaining to non-invasive risk assessment of this population, medical management options for coronary heart disease and coronary revascularisation. A collaborative heart-kidney team-based approach is imperative for critical management decisions for this patient population, especially coronary revascularisation; this review outlines specific periprocedural considerations pertaining to coronary revascularisation, and provides a proposed algorithm for approaching revascularisation choices in patients with end-stage kidney disease based on available literature.

Keywords: Chronic kidney disease; coronary artery bypass surgery; coronary artery disease; dialysis; end-stage kidney disease; non-invasive imaging; percutaneous coronary intervention.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Algorithmic Approach to Coronary Revascularisation in End-stage Kidney Disease
See this image and copyright information in PMC

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