Vaskulárna medicína 1/2013

Ankle-brachial index and chronic kidney disease

Patients with chronic kidney disease are at greater risk of cardiovascular disease and death compared with common population. This risk is several folds higher than progression of chronic kidney disease into the end stage. Although clinical cardiovascular outcomes, such as heart attack, stroke, result from prolonged exposure to an ever-growing array of risk factors. Nowadays is available a cheap, non-invasive method to assess the cumulative effect of these exposures, ankle brachial index. It is an indirect marker of atherosclerotic damage of coronal,cerebral and renal arteries, which predicts cardiovascular morbidity and mortality of these patients, and is also a prognostic marker.

Keywords: chronic kidney disease, cardiovascular morbidity and mortality, ankle-brachial index