, Volume 16, Issue 3, pp 345-347
Date: 28 Apr 2009

Chronic kidney disease, SPECT, and coronary angiography: “head of gold and feet of clay?”

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“… and as the toes of the feet were part of iron, and part of clay, so the kingdom shall be partly strong, and partly broken.” Daniel 2:42

Chronic kidney disease (CKD) is now well-recognized as an important coronary risk factor and is considered in our preoperative guidelines as a clinical predictor of perioperative death, myocardial infarction (MI), or the development of congestive heart failure.1 It can be considered as a coronary disease equivalent, such as a history of prior MI, diabetes mellitus, compensated or prior heart failure, or class I or II angina.2 Moreover, there is extensive data indicating that cardiovascular disease (CVD) is the chief cause of morbidity and mortality in patients with end-stage kidney disease.3

This issue of the Journal has an interesting extension of knowledge in the field of CVD in CKD.4 Coceani et al. examined the relationship among coronary artery disease (CAD), myocardial ischemia, subsequent death and reduced glomerular filtration rate (GFR) in 65 ...

See related article, doi:10.1007/s12350-008-9033-1.