congressional_record: CREC-2004-12-07-pt1-PgE2186-2
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| granule_id | date | congress | session | volume | issue | title | chamber | granule_class | sub_granule_class | page_start | page_end | speakers | bills | citation | full_text |
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| CREC-2004-12-07-pt1-PgE2186-2 | 2004-12-07 | 108 | 2 | 150 | RECOGNIZING THE LINK BETWEEN CARDIOVASCULAR RISK AND KIDNEY DISEASE | HOUSE | EXTENSIONS | RECOGNIZING | E2186 | E2186 | [{"name": "Mark Kirk", "role": "speaking"}] | 150 Cong. Rec. E2186 | Congressional Record, Volume 150 Issue 138 (Tuesday, December 7, 2004) [Congressional Record Volume 150, Number 138 (Tuesday, December 7, 2004)] [Extensions of Remarks] [Page E2186] From the Congressional Record Online through the Government Publishing Office [www.gpo.gov] RECOGNIZING THE LINK BETWEEN CARDIOVASCULAR RISK AND KIDNEY DISEASE ______ HON. MARK STEVEN KIRK of illinois in the house of representatives Tuesday, December 7, 2004 Mr. KIRK. Mr Speaker, I call attention to the link between cardiovascular risk and kidney disease. On December 6, 2004, the Congressional Kidney Caucus, in cooperation with the National Kidney Foundation, sponsored a luncheon in which Dr. George Bakris, MD, from Rush University Medical Center in Chicago, spoke on this troubling trend. I submit Dr. Bakris' remarks for the Record: Cardiovascular Risk and Kidney Disease Kidney disease is a silent killer, in that, there are no signs or symptoms until you lose >70% of your kidney function. A 50% loss of kidney function increases your risk of a cardiovascular event (heart attack, stroke, sudden death, heart failure) to more than double that of the general population. The risk of dying from a cardiovascular event, if you've lost 50% or more of your kidney function, is similar to that of having had a heart attack. Aggressive measures to achieve guideline goals (JNC7, ADA, NCEP) for blood sugar (HbAlc less than 7%), blood pressure (less than 130/80mmHg) and cholesterol levels (less than 200mg/dl) reduce both cardiovascular risk and risk of kidney disease progression. According to the most recent NHANES 1999-2000 data only 7.3% of Americans with diabetes, the most common cause of kidney disease achieve all three of these goals. The crisis of chronic kidney disease is that it is ``under- diagnosed, under-treated,'' and the relationship of chronic kidney disease to cardiovascular disease, ``under- recognized.'' It is now estimated that 1 in every 9 adults-- approximately 20 million Americans--has chronic kidney disease and most don't know it. The morbidity (hospitalizations, disability) associated with cardiovascular events in people with kidney disease is significantly higher than people without kidney disease. This translates into very high expenditures on the part of Medicare as well as lost wages and a reduced work force due to this disease. At the current rate of increase in kidney disease, we can expect a doubling of the number of people with kidney failure by 2010 at a projected cost of 28.3 billion dollars annually. Therefore, reducing risk of cardiovascular disease and development of kidney disease requires a preventive strategy. ____________________ |