Vascular access and cardiac disease: is there a relationship?

Abstract:

PURPOSE OF REVIEW:Despite advances in hemodialysis technology, a stable and well functioning vascular access remains the bane of every hemodialysis patient. It is recognized that vascular access contributes to cardiovascular disease mortality through a number of mechanisms. This review describes the relationship between vascular access and cardiovascular disease by reviewing the relationships between infection risk, inflammation and cardiovascular disease, and the cardiovascular changes that occur as a consequence of vascular access. Improved understanding of these mechanisms and their interrelationship is warranted. RECENT FINDINGS:The impact of arteriovenous fistula creation on cardiac structural and hemodynamic changes is described, as is vascular remodelling, which occurs in response to alterations in blood-flow properties. The development of central and peripheral vein stenosis is also a type of vascular remodelling and consequences of such events are not yet well understood. In addition, the contribution of vascular access to increased inflammation and atherosclerotic disease is reviewed. Finally, the hypothesis that vascular access dysfunction may be a predictor of vascular disease is explored. SUMMARY:The relationship between vascular access and cardiac disease exists at different levels, ranging from inflammation promoting atherosclerotic disease to vascular remodelling changes of stenosis formation and left ventricular hypertrophy. Countless research opportunities abound.

authors

MacRae JM

doi

10.1097/01.mnh.0000247506.79538.3e

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

577-82

issue

6

eissn

1062-4821

issn

1473-6543

pii

00041552-200611000-00005

journal_volume

15

pub_type

杂志文章,评审
  • Cardiovascular disease and hypertension.

    abstract::The cellular and molecular mechanisms whereby hypertension causes vascular and cardiac disease are beginning to be understood. Angiotensin II, perhaps because so many probes to explore its action are available, is emerging as a central pathogenetic factor in the development of both vascular and cardiac hypertrophy. It...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199303000-00018

    authors: Oliver JA

    更新日期:1993-03-01 00:00:00

  • Antihypertensive medications and risk of diabetes mellitus.

    abstract:PURPOSE OF REVIEW:Over the past decade post-hoc analyses of clinical trials and observational studies have tended to show that participants treated with thiazide diuretics are at greater risk for newly diagnosed diabetes mellitus than those treated with other medication classes. We review the results of several recent ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e328057dea2

    authors: Barzilay JI,Cutler JA,Davis BR

    更新日期:2007-05-01 00:00:00

  • PPARγ as a therapeutic target in diabetic nephropathy and other renal diseases.

    abstract:PURPOSE OF REVIEW:Peroxisome proliferator-activated receptor gamma (PPARγ) is a ligand-activated nuclear transcription factor that regulates many important physiological processes including glucose and lipid metabolism, energy homeostasis, cell proliferation, inflammation, immunity and reproduction. The current review ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e32834de526

    authors: Yang J,Zhou Y,Guan Y

    更新日期:2012-01-01 00:00:00

  • Chronic kidney disease progression in native and transplant kidneys.

    abstract:PURPOSE OF REVIEW:The present review addresses the recent literature demonstrating important differences in the rate of progression of kidney function decline between transplant recipients and patients with native kidney disease. It also highlights the need for prospective studies to determine the importance of nonimmu...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-200411000-00005

    authors: Woo YM,Pereira BJ,Gill JS

    更新日期:2004-11-01 00:00:00

  • Diagnosis and treatment of ischemic heart disease in dialysis patients.

    abstract::Ischemic heart disease is the major cause of death in dialysis patients. Efforts at coronary artery disease detection in end-stage renal disease patients have primarily focused on the cardiac evaluation of 'high-risk' renal transplant candidates. Despite their high cardiac risk, no data exist on the results of reperfu...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199711000-00011

    authors: Herzog CA

    更新日期:1997-11-01 00:00:00

  • When are you too old to get a kidney transplants?

    abstract:PURPOSE OF REVIEW:With the increasing incidence and prevalence of ESRD in the elderly, we are now transplanting more elderly patients. Although we know from previous reports that transplantation provides increased survival advantage and/or quality of life when compared to being on dialysis, we also know that transplant...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000548

    authors: Kodali L,Turner A

    更新日期:2019-11-01 00:00:00

  • Obesity-related hypertension: mechanisms, cardiovascular risks, and heredity.

    abstract::Recent investigations cast some doubts on the status of insulin resistance as a trigger in hyperinsulinemia-associated hypertension or obesity-related hypertension, or both. Major epidemiological studies have shown that central adiposity is a powerful risk factor for stroke or coronary artery disease when accompanied ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199501000-00010

    authors: Reisin E,Messerli FH

    更新日期:1995-01-01 00:00:00

  • Mechanisms and causes of hypomagnesemia.

    abstract:PURPOSE OF REVIEW:Identification of the mechanisms of magnesium absorption and reabsorption has markedly enhanced our understanding of the causes of hypomagnesemia. RECENT FINDINGS:New gastrointestinal and renal causes of hypomagnesemia have been recently documented. SUMMARY:The recognition of new mechanisms and caus...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000238

    authors: Agus ZS

    更新日期:2016-07-01 00:00:00

  • Recent advances in the mechanism of action of cyclosporine and FK506.

    abstract::The immunosuppressants cyclosporine and FK506 (tacrolimus) are extremely potent inhibitors of T-lymphocyte activation. Recent studies have shown that these agents are actually prodrugs that become active only when bound to specific members of the cyclophilin or FK506 binding protein receptor gene families. The cyclosp...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199212000-00008

    authors: Tocci MJ,Sigal NH

    更新日期:1992-12-01 00:00:00

  • Nox-4 and progressive kidney disease.

    abstract:PURPOSE OF REVIEW:Nox-4 is a member of the NADPH oxidase (Nox) family of enzymes implicated in reactive oxygen species generation. Nox-4 is distributed in many tissues; however, its physiological functions remain poorly understood. In contrast to other Nox isoforms, it is unique in that it produces large amounts of hyd...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000082

    authors: Thallas-Bonke V,Jandeleit-Dahm KA,Cooper ME

    更新日期:2015-01-01 00:00:00

  • Update on pathogenesis, markers and management of diabetic nephropathy.

    abstract::Experimental animal models and cell culture techniques, highlighting the central role of glucose metabolism, have provided important insight into the pathogenesis of diabetic nephropathy. Microalbuminuria and other candidate phenotypic or genotypic markers for the early onset of disease are discussed. Management recom...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199605000-00010

    authors: Mogyorósi A,Ziyadeh FN

    更新日期:1996-05-01 00:00:00

  • The impact of frailty on outcomes in dialysis.

    abstract:PURPOSE OF REVIEW:Frailty is highly prevalent in the dialysis population and is associated with mortality. Recent studies have suggested that other dialysis outcomes are compromised in frail individuals. While we do not yet have a consensus as to the best measure of frailty, identification of these poor outcomes and th...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000364

    authors: Sy J,Johansen KL

    更新日期:2017-11-01 00:00:00

  • Membranous nephropathy: current understanding of various causes in light of new target antigens.

    abstract:PURPOSE OF REVIEW:Membranous nephropathy is an autoimmune disease caused by antibodies mostly directed to podocyte antigens. PLA2R and THSD7A antigens were described in 2009 and 2014 using classical immunochemical techniques. In the last 2 years, thanks to the combination of laser microdissection of glomeruli and mass ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章

    doi:10.1097/MNH.0000000000000697

    authors: Ronco P,Debiec H

    更新日期:2021-01-21 00:00:00

  • Role of microRNAs in aldosterone signaling.

    abstract:PURPOSE OF REVIEW:The review describes studies investigating the role of microRNAs in the signaling pathway of the mineralocorticoid hormone, aldosterone. RECENT FINDINGS:Emerging evidence indicates that aldosterone alters the expression of microRNAs in target tissues thereby modulating the expression of key regulator...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000440

    authors: Butterworth MB

    更新日期:2018-09-01 00:00:00

  • Neutrophil gelatinase-associated lipocalin-mediated iron traffic in kidney epithelia.

    abstract:PURPOSE OF REVIEW:Neutrophil gelatinase-associated lipocalin (NGAL) is a member of the lipocalin superfamily of carrier proteins. NGAL is the first known mammalian protein which specifically binds organic molecules called siderophores, which are high-affinity iron chelators. Here, we review the expression, siderophore-...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/01.mnh.0000232886.81142.58

    authors: Schmidt-Ott KM,Mori K,Kalandadze A,Li JY,Paragas N,Nicholas T,Devarajan P,Barasch J

    更新日期:2006-07-01 00:00:00

  • Iron therapy for managing anaemia in chronic kidney disease.

    abstract:PURPOSE OF REVIEW:Iron deficiency is a major contributory cause to the development of anaemia in chronic kidney disease (CKD), and thus, iron replacement therapy plays a critical role in the management of this condition. The two main routes for administering iron are oral and intravenous, and there have been a number o...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000436

    authors: Macdougall IC

    更新日期:2018-09-01 00:00:00

  • Podocyte polarity signalling.

    abstract:PURPOSE OF REVIEW:The glomerular filtration barrier is a unique structure characterized by a specialized three-dimensional framework of podocytes. This review is aimed at describing the latest advances made in the understanding of polarity signalling pathways regulating the formation and the maintenance of the complex ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e32832e316d

    authors: Simons M,Hartleben B,Huber TB

    更新日期:2009-07-01 00:00:00

  • Structural biology: a high-tech tool for biomedical research.

    abstract:PURPOSE OF REVIEW:Structural biology is one of the most informative disciplines available to biochemical research. It unites technologies that can reveal high-resolution (often atomic) details of the inner workings of biochemical systems. These insights are crucial for an understanding of basic life processes, such as ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-200307000-00012

    authors: Machius M

    更新日期:2003-07-01 00:00:00

  • Where are we in diabetic nephropathy: microRNAs and biomarkers?

    abstract:PURPOSE OF REVIEW:Several factors are now known to contribute to the development and progression of nephropathy, particularly in diabetes. In recent times, there has been surge of interest in the role of small noncoding RNA, with several reports focusing on the effects of microRNAs on their target genes that are of rel...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/01.mnh.0000437612.50040.ae

    authors: McClelland A,Hagiwara S,Kantharidis P

    更新日期:2014-01-01 00:00:00

  • Roles of growth hormone and growth factors in the pathogenesis and treatment of kidney disease.

    abstract::Growth hormone and a number of polypeptide growth factors exert actions on renal development, growth, and metabolism and on repair processes following renal injury. There is increasing evidence that under selected circumstances, these agents play roles in the pathogenesis of kidney disease and that under others, they ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199301000-00010

    authors: O'Shea M,Miller SB,Finkel K,Hammerman MR

    更新日期:1993-01-01 00:00:00

  • The glomerular filter: an imperfect barrier is required for perfect renal function.

    abstract:PURPOSE OF REVIEW:There is currently a major debate on the mechanisms of albuminuria, and this review appraises recent studies in this area. RECENT FINDINGS:The traditional view of albuminuria is that it is the result of damage to an essentially impermeable glomerular barrier. However, over the years, critical evidenc...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e32832cb96a

    authors: Comper WD,Russo LM

    更新日期:2009-07-01 00:00:00

  • Hemodialysis morbidity and mortality: links to patient non-compliance.

    abstract::Patient non-compliance with the dialysis treatment prescription has often been overlooked as an important variable that contributes to outcomes in end-stage renal disease. This review discusses evidence from a limited number of researchers that such behavior may be as important as the traditional medical indicators th...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199811000-00004

    authors: Bander SJ,Walters BA

    更新日期:1998-11-01 00:00:00

  • Factors controlling growth and matrix production in vascular smooth muscle and glomerular mesangial cells.

    abstract::The vasculature wall is an active, integrated organ composed of endothelial cells and vascular smooth muscle cells, as well as other cell types depending on the specific vascular segment (e.g. fibroblasts in many vascular regions). The vascular wall is not static; the vascular components (cells and extracellular matri...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199701000-00016

    authors: Dubey RK,Jackson EK,Rupprecht HD,Sterzel RB

    更新日期:1997-01-01 00:00:00

  • Haemodynamic actions of insulin.

    abstract::Several lines of evidence indicate a significant association between insulin and cardiovascular disease. This association might be explained by direct (cardio) vascular effects of insulin. Two hemodynamic actions of insulin are discussed in this review; it induces direct vasodilation in skeletal muscle and stimulation...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199801000-00016

    authors: Tack CJ,Lenders JW,Goldstein DS,Lutterman JA,Smits P,Thien T

    更新日期:1998-01-01 00:00:00

  • Erythropoietin therapy in chronic uremia: the impact of normalization of hematocrit.

    abstract::The target hematocrit to be achieved when treating anemia in hemodialysis patients with erythropoietin is controversial. Current evidence-based recommendations suggest a target hematocrit range of 33% to 36%. Small studies suggest that normalization of hematocrit with erythropoietin may benefit hemodialysis patients i...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199909000-00007

    authors: Murphy ST,Parfrey PS

    更新日期:1999-09-01 00:00:00

  • Role of extracellular matrix in vascular remodeling of hypertension.

    abstract:PURPOSE OF REVIEW:Arterial stiffness due to alterations in extracellular matrix is one of the mechanisms responsible for increased peripheral resistance in hypertension. Recent evidence points to arterial stiffness as an independent predictor of cardiovascular events. This review focuses on recent advances in the biolo...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e328335eec9

    authors: Briones AM,Arribas SM,Salaices M

    更新日期:2010-03-01 00:00:00

  • Drug interactions in transplant patients: what everyone should know.

    abstract:PURPOSE OF REVIEW:Adverse events due to drug-drug interactions remain a challenge in the postsurgical care of transplant recipients. A combination of potent and selective immunosuppressive drugs, which have a narrow therapeutic index, with medications for the treatment of comorbidities such as dyslipidemia, infection, ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e32832edcb2

    authors: Manitpisitkul W,McCann E,Lee S,Weir MR

    更新日期:2009-09-01 00:00:00

  • Bone biopsy in renal osteodystrophy: continued insights into a complex disease.

    abstract:PURPOSE OF REVIEW:The pathogenesis and optimal therapy of renal bone disease remains poorly understood in chronic kidney disease (CKD) and dialysis patients. Bone biopsy is thus far the only window into cellular and molecular events in bone. This review will focus on recent insights into the pathophysiology of renal bo...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e32835dda01

    authors: Christov M,Pereira R,Wesseling-Perry K

    更新日期:2013-03-01 00:00:00

  • Role of mesenchymal stem cells in kidney injury and fibrosis.

    abstract:PURPOSE OF REVIEW:Multiple studies have established the beneficial role of mesenchymal stem cell (MSC) therapy for kidney injury. In this review we will discuss the recent identification of Gli1 as a marker for perivascular MSC and the role of this cell population in kidney fibrosis. RECENT FINDINGS:Recent studies dem...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000230

    authors: Kuppe C,Kramann R

    更新日期:2016-07-01 00:00:00

  • PPARs: the vasculature, inflammation and hypertension.

    abstract:PURPOSE OF REVIEW:Peroxisome proliferator-activated receptors (PPARs) are a family of nuclear receptors activated by nutrient molecules and their derivatives. Their role has been increasingly recognized to be important in hypertension, metabolic disorders and cardiovascular disease, including atherosclerosis. Control o...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e328325803b

    authors: Duan SZ,Usher MG,Mortensen RM

    更新日期:2009-03-01 00:00:00