Cardiologist Questions Kidney Failure

Could kidney disease cause cardiac issues?

My father is suffering from a kidney failure and has been on dialysis for the last 2 months. The doctors are suggesting that his kidney disease could also have its implications on the functioning of his heart. Can kidney disease really trigger cardiac issues in a person?

5 Answers

When kidney function deteriorates, the calcium does not get cleaned from your body and also deposits in coronary arteries, hence it is very common for this population to have significant calcified coronary arteries.
Yes, unfortunately chronic kidney disease, especially when it reaches the point of end stage, can lead to several different cardiac complications, such as congestive heart failure, valvular heart disease and also infections affecting heart valves.
Hi, and yes. Dialysis itself is like a stress test every session. Also, it can cause fluid shifts that can precipitate cardiac issues, ekg changes may occur. Long-term dialysis in and of itself can lead to heart disease, as the same issues that cause renal disease also causes cardiovascular issues as well. If it's only two weeks, would get a good history, physical exam, blood tests, ekg, echocardiogram, and stress testing. Depending on age, would consider being on a transplant list (good operation). Also, make sure he is not diabetic or insulin resistant. Also, a base line renal ultrasound, and 24 hour urine studies.
Yes they can. In fact the majority of patients on dialysis die from heart problems rather then kidney problems.
Chronic kidney disease, particularly in patients who are on hemodialysis, commonly causes and may also accelerate coronary artery disease. The patients are usually treated aggressively with medications to help reduce risk of heart attacks. Some of these medications like statins for cholesterol, are particularly important!. The risk of heart disease, such as coronary disease, tends to be even more prevalent if diabetes is also present along with the chronic kidney disease.