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Optimising Access to Care for Patients with Heart and Kidney Diseases: A World Heart Federation and International Society of Nephrology White Paper.

Title: Optimising Access to Care for Patients with Heart and Kidney Diseases: A World Heart Federation and International Society of Nephrology White Paper.
Authors: Narula, Jagat; Butler, Javed; Chothia, Mogamat-Yazied; Banerjee, Debasish; Jarraya, Faical; Ulasi, Ifeoma; A Luyckx, Valerie
Source: Indian Journal of Nephrology; Jan/Feb2026, Vol. 36 Issue 1, p1-26, 26p
Subject Terms: Heart disease diagnosis; Kidney disease risk factors; Kidney disease diagnosis; Heart disease risk factors; Kidney disease treatments; Kidney disease prevention; Heart diseases; Health services accessibility; Middle-income countries; Psychology of cardiac patients; Risk assessment; Medical care use; Mortality; Health literacy; Medical protocols; Cardiology; People with diabetes; Medical personnel; Medical care; Health policy; International agencies; Patient care; Hypoglycemic agents; Cardiovascular diseases risk factors; Nephrology; Attitudes of medical personnel; Quality assurance; Health equity; Expertise; Cardiac arrest; Kidney diseases; Early diagnosis; Low-income countries; Psychosocial factors; Cardiovascular system; Comorbidity; Obesity; Medical care costs
Abstract: The clinical impact of diabetes medications, including sodium-glucose cotransporter-2 inhibitors, non-steroidal mineralocorticoid receptor antagonists, and glucagon-like peptide 1 receptor agonists on cardiovascular and kidney disease outcomes has focused attention on the interrelatedness of kidney and heart health, both within and outside the context of diabetes. These conditions often co-exist, causing frequent hospitalizations and premature deaths. Herein, we provide an updated, comprehensive state-of-the-art review, summarizing the linkages between heart disease and kidney disease, the mechanisms connecting these conditions, common risk factors, management, implications for health systems, and the impact on patients, particularly in low-resource settings. As experts representing the World Heart Federation and the International Society of Nephrology, we highlight areas of opportunity and provide recommendations on improving access to care for the growing numbers of patients with heart and kidney diseases, with a focus on low- and middle-income countries. [ABSTRACT FROM AUTHOR]
: Copyright of Indian Journal of Nephrology is the property of Scientific Scholar LLC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Complementary Index