Uric acid and cardiovascular disease: a renal-cardiac relationship?

Abstract:

:Elevated serum uric acid is a frequent finding in patients with kidney disease and cardiovascular disease. Intrarenal ischaemia, induced by hypertension, increased sympathetic nervous system activity, and hyperinsulinaemia have all been implicated in reduced renal clearance of urate. This frequently results in elevated serum uric acid levels. The association of hyperuricaemia with cardiovascular disease remains controversial. Current evidence suggests that serum uric acid may provide additional prognostic information in patients with essential hypertension. However, there has been no test of the hypothesis that a reduction in serum uric acid would prevent cardiovascular disease. Furthermore, a critical review of the current literature does not support a causal role of serum uric acid in the development of cardiovascular disease. Serum uric acid probably reflects and integrates different risk factors and their possible interactions.

authors

Culleton BF

doi

10.1097/00041552-200105000-00012

keywords:

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

371-5

issue

3

eissn

1062-4821

issn

1473-6543

journal_volume

10

pub_type

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