Dr. Loay Salman, chief of Albany Meds Division of Nephrology and Hypertension, in his office on Friday, Oct. 4, 2019 in Albany, N.Y. (Lori Van Buren/Times Union)
Dr. Loay Salman, chief of Albany Meds Division of Nephrology and Hypertension, in his office on Friday, Oct. 4, 2019 in Albany, N.Y. (Lori Van Buren/Times Union)
Photo: Lori Van Buren, Albany Times Union
Dr. Loay Salman, chief of Albany Meds Division of Nephrology and Hypertension, in his office on Friday, Oct. 4, 2019 in Albany, N.Y. (Lori Van Buren/Times Union)
Dr. Loay Salman, chief of Albany Meds Division of Nephrology and Hypertension, in his office on Friday, Oct. 4, 2019 in Albany, N.Y. (Lori Van Buren/Times Union)
Kidney-heart connection is focus of upcoming HealthyLife seminar
COLONIE If youve got kidney disease, its your heart you may have to worry about.
People with kidney disease are much more likely to die from heart disease than kidney problems, and the reason has to do with the delicate interplay between the organs.
One pumps oxygen and nutrient-rich blood throughout the body. The other filters that blood to remove waste and excess fluid, and releases hormones that help maintain a healthy blood pressure.
Start to mess with one and you affect the other. Its why people with heart disease are at increased risk for kidney disease and people with kidney disease are so susceptible to heart disease. The two even share some of the same risk factors, such as diabetes and high blood pressure.
Unfortunately, most people are unaware of the kidney-heart connection, doctors say.
An upcoming HealthyLife seminar, scheduled for 6 to 7 p.m. Wednesday, Oct. 23, at the Hearst Media Center in Colonie, will explore this connection in depth. Dr. Radmila Lyubarova, a clinical and noninvasive cardiologist at Albany Medical Center, and Dr. Loay Salman, chief of the hospitals division of nephrology and hypertension, will lead the talk.
All providers should be aware of this condition, said Salman, referring to disorders affecting the heart and kidneys known as cardiorenal syndrome. Once this condition is recognized, it is best to approach it as a team that includes all relevant specialties.
This would include a cardiologist, a nephrologist (kidney specialist), and ideally the patients primary care provider.
For people with heart failure, doctors will be on the lookout for the presence of diabetes, poorly controlled hypertension, a history of underlying kidney disease, or a long history of heart failure as signs the patient may be at risk of kidney disease.
We do certain blood and urine tests in order to evaluate kidney function and better assess if there is functional or structural damage to the kidneys, Salman said.
For those with kidney disease or reduced kidney function of any kind, doctors will be on the lookout for hypertension, hyperlipidemia (too much fat in the blood) and diabetes known risk factors for heart disease.
They will also beware of complications from chronic kidney disease, which occurs when someone experiences gradual loss of kidney function over months or years. These might include uremia (too much waste in the blood), anemia and increased inflammatory markers. All are signs someone is at risk of developing heart disease on top of their kidney disease.
Cardiorenal syndrome will be treated differently depending on its primary cause, Salman said.
When heart failure is the primary cause, doctors may look to protect the heart through the use of diuretics and certain blood pressure medications. A low-salt diet would also help.
When kidneys are the primary cause, doctors will look to control blood pressure, diabetes and lipids. They may put the patient on anti-platelet drugs that prevent arteries and stents from getting clogged, and instruct them to avoid certain medications that can hurt the kidneys.
We also ask the patient to stop smoking, limit alcohol intake, limit salt intake, have an active lifestyle, make healthy food choices and recommend diet restriction in certain conditions, Salman said.
Of course, such behavior is recommended to prevent kidney and heart disease in the first place. Regular visits to your doctor, an annual checkup that includes a blood pressure check, and regular heart health screenings are recommended as well.
Read more:
Kidney-heart connection is focus of upcoming HealthyLife seminar - Times Union
- Hypertension: Practice Essentials, Background, Pathophysiology - Medscape Reference - April 10th, 2018 [April 10th, 2018]
- High blood pressure (hypertension) - Symptoms and causes ... - May 18th, 2018 [May 18th, 2018]
- 10 Causes of Hypertension - A Diet High In Salt Content - June 21st, 2018 [June 21st, 2018]
- Homeopathy Hypertension Remedies | High Blood Pressure ... - July 5th, 2018 [July 5th, 2018]
- European Society of Hypertension - July 7th, 2018 [July 7th, 2018]
- List of High Blood Pressure (Hypertension) Medications (259 ... - July 26th, 2018 [July 26th, 2018]
- Hypertension (High Blood Pressure) Charts, Symptoms, Diet ... - September 2nd, 2018 [September 2nd, 2018]
- Vitamin D and hypertension - September 8th, 2018 [September 8th, 2018]
- 2014 Guideline for Management of High Blood Pressure - September 29th, 2018 [September 29th, 2018]
- Essential hypertension - Wikipedia - September 30th, 2018 [September 30th, 2018]
- Hypertension Treatment & Drugs | Hypertension Causes ... - September 30th, 2018 [September 30th, 2018]
- Hypertension (High Blood Pressure) - October 13th, 2018 [October 13th, 2018]
- Hypotension - Wikipedia - October 30th, 2018 [October 30th, 2018]
- Hypertension | pathology | Britannica.com - October 30th, 2018 [October 30th, 2018]
- Hypertension | Cornell University College of Veterinary Medicine - November 10th, 2018 [November 10th, 2018]
- 2014 Guideline for Management of High Blood Pressure - JAMA - November 18th, 2018 [November 18th, 2018]
- Pharmacologic Treatment of Hypertension in Adults | Annals ... - November 18th, 2018 [November 18th, 2018]
- 10 Causes of Hypertension - High In Salt Consumption - November 29th, 2018 [November 29th, 2018]
- High blood pressure (hypertension) - Diagnosis and treatment ... - November 29th, 2018 [November 29th, 2018]
- High Blood Pressure Symptoms - Hypertension Symptoms - December 9th, 2018 [December 9th, 2018]
- Hypertension - Medscape Reference - December 21st, 2018 [December 21st, 2018]
- Hypertension - Lab Tests Online - December 21st, 2018 [December 21st, 2018]
- High Blood Pressure (Hypertension): Symptoms ... - OnHealth - December 21st, 2018 [December 21st, 2018]
- High Blood Pressure | Hypertension | MedlinePlus - December 27th, 2018 [December 27th, 2018]
- Hypertension - Wikipedia - December 27th, 2018 [December 27th, 2018]
- Hypertension: Causes and Risk Factors - verywellhealth.com - January 1st, 2019 [January 1st, 2019]
- Hypertension - Genetics Home Reference - NIH - January 20th, 2019 [January 20th, 2019]
- Hypertension: Nursing Care Management and Study Guide - April 7th, 2019 [April 7th, 2019]
- High blood pressure (hypertension) Disease Reference Guide ... - April 7th, 2019 [April 7th, 2019]
- Pulmonary hypertension - Symptoms and causes - Mayo Clinic - September 14th, 2019 [September 14th, 2019]
- Incident Hypertension Associated With Continuous NSAID Use in Ankylosing Spondylitis - Rheumatology Advisor - October 12th, 2019 [October 12th, 2019]
- The innovative new ways scientists are tackling high blood pressure - Noted - October 12th, 2019 [October 12th, 2019]
- If You Have High Blood Pressure, You May Be at Higher Risk for This Cancer - msnNOW - October 12th, 2019 [October 12th, 2019]
- MODERATO II Study: Cardiac Neuromodulation Significantly Reduces Systolic Blood Pressure - Diagnostic and Interventional Cardiology - October 12th, 2019 [October 12th, 2019]
- High blood pressure: Six foods proven to lower your reading - Express - October 14th, 2019 [October 14th, 2019]
- Sepetaprost Effective and Safe in Glaucoma, Ocular Hypertension - Monthly Prescribing Reference - October 14th, 2019 [October 14th, 2019]
- India, Stressed: More than Half of Commuters in Metro Cities Likely to Commit Road Rage - News18 - October 17th, 2019 [October 17th, 2019]
- University College London Awarded 1M to Advance Heart, PH Research Using Computational Biology - Pulmonary Hypertension News - October 17th, 2019 [October 17th, 2019]
- One in 10 children on the verge of heart attack risk - The New Daily - October 17th, 2019 [October 17th, 2019]
- Healthy living: Salt and hypertension - Forbes India - October 17th, 2019 [October 17th, 2019]
- The global blood pressure (BP) monitoring devices market size is expected to reach USD 2.47 billion by 2026 - GlobeNewswire - October 17th, 2019 [October 17th, 2019]
- Vitamin D Deficiency And Hypertension: Is There A Relation Between Low Levels Of Vitamin D And High Blood Pressure? - NDTV News - October 17th, 2019 [October 17th, 2019]
- Hypertension in Indians - Forbes India - October 17th, 2019 [October 17th, 2019]
- Health: Worrying rise of hypertension in Indians - Forbes India - October 17th, 2019 [October 17th, 2019]
- More than 1100 health care organizations earn BP-control honor - American Medical Association - October 17th, 2019 [October 17th, 2019]
- Medication Adherence In Patients With Arterial Hypertension: The Relat | PPA - Dove Medical Press - October 17th, 2019 [October 17th, 2019]
- High levels of stress increase hypertension risk in black individuals - Healio - October 17th, 2019 [October 17th, 2019]
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- Chronic Stress in African-Americans Linked to Hypertension - TCTMD - October 23rd, 2019 [October 23rd, 2019]
- Why all the fuss around hypertension? - Firstpost - October 23rd, 2019 [October 23rd, 2019]
- Study explores why Caribbean adults have higher hypertension rates - Yale News - October 23rd, 2019 [October 23rd, 2019]
- Hypertension in adults: summary of updated NICE guidance - The BMJ - October 23rd, 2019 [October 23rd, 2019]
- Diabetes, blood pressure and cancer cases are rising rapidly in India - Times of India - November 2nd, 2019 [November 2nd, 2019]
- Is there a link between breastfeeding and diabetes - Medical News Bulletin - November 2nd, 2019 [November 2nd, 2019]
- High Blood Pressure: Lower hypertension by eating less of these food groups - PINKVILLA - November 2nd, 2019 [November 2nd, 2019]
- Chronic high blood pressure in pregnant women on the rise - MahoningMatters.com - November 2nd, 2019 [November 2nd, 2019]
- Unhealthy Lifestyle and Indian Ethnicity Tied to Hypertension - Forbes India - November 2nd, 2019 [November 2nd, 2019]
- Cardio Round-up: Walkability and CVD; Pollution and Stroke; and More - DocWire News - November 2nd, 2019 [November 2nd, 2019]
- Hypertension Tied to Over One-Third of Population-Attributable CVD Risk in U.S. Black Adults - DocWire News - November 2nd, 2019 [November 2nd, 2019]
- This Is What Makes Oats Idli An Ideal Breakfast For A High Blood Pressure Diet - NDTV Food - November 11th, 2019 [November 11th, 2019]
- Global Idiopathic Intracranial Hypertension Therapeutics Market 2019-2023 | Evolving Opportunities with AbbVie Inc. and Astellas Pharma Inc. |... - November 11th, 2019 [November 11th, 2019]
- Severe Hypertension Common in aHUS Patients and Soliris Effective at Treating Them, Study Finds - aHUS News - November 11th, 2019 [November 11th, 2019]
- Overhydration Is a Risk Factor for Post-Dialysis Hypertension - Renal and Urology News - November 11th, 2019 [November 11th, 2019]
- In AS, Hypertension Risk Linked to Continuous NSAID Use, Study Says - Ankylosing Spondylitis News - November 11th, 2019 [November 11th, 2019]
- Physicians, Patient Discuss Intentional Nonadherence in Hypertension Therapy - AJMC.com Managed Markets Network - November 11th, 2019 [November 11th, 2019]
- More than 50,000 suffer from diabetes, nearly a lakh from hypertension - The Indian Express - November 14th, 2019 [November 14th, 2019]
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- The ALK-1/SMAD/ATOH8 axis attenuates hypoxic responses and protects against the development of pulmonary arterial hypertension - Science - November 14th, 2019 [November 14th, 2019]
- Health screenings given to raise awareness at West Philly barbershop - The Philadelphia Tribune - November 14th, 2019 [November 14th, 2019]
- Blood pressure monitoring must be a part of a diabetic's routine - Gulf News - November 14th, 2019 [November 14th, 2019]
- Early Warning Signs of CKD Going Unnoticed in Veterans, Especially Those With Hypertension - AJMC.com Managed Markets Network - November 14th, 2019 [November 14th, 2019]
- The Epidemic of Hypertension and Vulnerability of Indians - Forbes India - November 14th, 2019 [November 14th, 2019]
- Knowing the facts: Hypertension vis-a-vis Lifestyle - Forbes India - November 14th, 2019 [November 14th, 2019]
- Heart hormones that affect development of diabetes, hypertension differ in African Americans and whites - UAB News - November 14th, 2019 [November 14th, 2019]
- What are the effects of lowering blood pressure targets? - Medical News Today - November 14th, 2019 [November 14th, 2019]