Extra members of the family: (pre-)diabetes and CKD - Presenter: Prof. Dr. med. Markus van der Giet

Chronic renal dysfunction (CKD) is associated with a very high cardiovascular risk, morbidity, and mortality. Above all, patients with CKD very often have atrial fibrillation: The restricted kidney function increases the risk of atrial fibrillation. The atrial fibrillation, which is quite complicated to treat, leads to a further deterioration in kidney function due to the poorer hemodynamics. Early detection and appropriate treatment is particularly relevant for patients with impaired renal function. Detection is essential.

Atrial fibrillation is more common in patients with impaired kidney function and/or diabetes than in the general population. The increased atrial fibrillation problems are the result of an intensive remodeling of the heart with subsequent disruption of the electrical conduction pathways. Due to atrial fibrillation, patients are significantly restricted in their everyday life and diseases such as kidney dysfunction also deteriorate more quickly due to the hemodynamic influence. The mortality from atrial fibrillation in the case of impaired renal function and/or diabetes is significantly increased. Early detection and timely intervention is of great relevance for patients in order to influence the high cardiovascular mortality and morbidity.

Learning Objectives:

- Particular association of atrial fibrillation and chronic renal dysfunction
- Importance of blood pressure control to prevent progression of renal dysfunction
- Hemodynamic instability by atrial fibrillation leads to further progression of CKD

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