Open Access

Cardiovascular risks in chronic kidney disease pediatric patients (Review)

  • Authors:
    • Jing Tian
    • Ling Niu
    • Xinjiang An
  • View Affiliations

  • Published online on: September 15, 2017     https://doi.org/10.3892/etm.2017.5117
  • Pages: 4615-4619
  • Copyright: © Tian et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

One of the common factors for the premature death in children is advanced chronic kidney disease (CKD). Most often cardiovascular disease (CVD) is the reason for mortality. The cardiovascular (CV) morbidity starts early in the disease process and renal transplanted children (CKD-T) are also at risk. The present review is focused on the current views of the cardiovascular risks during CKD in pediatric patients. Variable data sources for the latest literature collection were explored which mainly included PubMed and Google Scholar. The most important risk factors for subclinical CVD were a young age, elevated BMI and systolic blood pressure z-scores as well as a low GFR and present albuminuria. Increasing blood pressure and BMI over follow-up were also important cardiac risk factors longitudinally. The present review concludes that altered cardiac function and remodeling are a concurrent part of the CKD process, start early in the disease development, and persist after renal transplantation. The findings suggest that children with CKD or CKD-T are at high risk for future CVD where younger patients with elevated BMI and slightly increased blood pressures, as well as present albuminuria, are those at greatest risk, thus indicating targets for future interventions.
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November-2017
Volume 14 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Tian J, Niu L and An X: Cardiovascular risks in chronic kidney disease pediatric patients (Review). Exp Ther Med 14: 4615-4619, 2017
APA
Tian, J., Niu, L., & An, X. (2017). Cardiovascular risks in chronic kidney disease pediatric patients (Review). Experimental and Therapeutic Medicine, 14, 4615-4619. https://doi.org/10.3892/etm.2017.5117
MLA
Tian, J., Niu, L., An, X."Cardiovascular risks in chronic kidney disease pediatric patients (Review)". Experimental and Therapeutic Medicine 14.5 (2017): 4615-4619.
Chicago
Tian, J., Niu, L., An, X."Cardiovascular risks in chronic kidney disease pediatric patients (Review)". Experimental and Therapeutic Medicine 14, no. 5 (2017): 4615-4619. https://doi.org/10.3892/etm.2017.5117