Stroke, Chronic Kidney Disease and Dialysis

Abstract

Chronic kidney disease, characterized by decreased glomerular filtration and proteinuria are associated with increased cardiovascular risk, and mortality as a result of those events. Stroke, in particular can be a debilitating event in a CKD patient's life due to limitations of standard treatment in this population even if the presentation is within the therapeutic time window. We discuss the traditional and non traditional risk factors associated with stroke in CKD patients and their pathophysiology. In addition, this article reviews the advantages and disadvantages of peritoneal dialysis and hemodialysis in the different subsets of stroke patients with CKD. We also talk about potential future areas of research in treatment and controlling for the risk factors associated with stroke.