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Cardiac Mortality in Chronic Kidney Disease: A Clearer Perspective

Raymond R. Townsend, MD
[+] Article, Author, and Disclosure Information

Requests for Single Reprints: Raymond R. Townsend, MD, Renal–Electrolyte and Hypertension Division, University of Pennsylvania Health System, 210 White Building, 3400 Spruce Street, Philadelphia, PA 19104; e-mail, townsend@mail.med.upenn.edu.

Ann Intern Med. 2002;137(7):615-616. doi:10.7326/0003-4819-137-7-200210010-00014
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Cardiovascular disease remains public health enemy number one. Efforts to reduce deaths from coronary artery disease have generally taken two routes: prevention and treatment. The prevention route aims to identify and manage, when possible, persons who have risk factors for the processes that obstruct the coronary lifelines. The treatment route focuses on the development of strategies to salvage jeopardized myocardium through reperfusion, which, in turn, reduces the short- and long-term morbidity and mortality from coronary thrombosis. In this issue, two articles address both routes, emphasizing the role of impaired kidney function as a risk factor for heart attack and indicating that clinicians underuse available treatments in patients presenting with acute myocardial infarction and impaired kidney function (12).

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