Special aspects and availability of cardiac rehabilitation in patients with chronic kidney disease
Bajcsy-Zsilinszky Kórház, Kardiológiai Rehabilitációs Osztály, Budapest
Chronic kidney disease and cardiovascular diseases often intertwined. Cardiovascular disease accounts for over 40 percent of deaths in chronic severe kidney disease patients. In general, patients with even mild chronic kidney disease have a greater burden of incident cardiovascular disease compared with similar age controls. Acut myocardial infarction or ACBG surgery cause transient decrease in renal blood flow that can induce acute or even chronic renal insufficiency. Chronic kidney and cardiovascular disease patients who make some physical activity are much more protected from cardiovascular death, therefore it is very important to keep on regular training. In the case of decreased renal function (eGFR 60 ml/min) under the influence of a 3 month training period eGFR and VO2max increased and BNP decreased according to the observations.