2026 Pocket Guidelines on CVD and Chronic Kidney Disease

Publication Date: August 2026
Chairpersons: Kevin Damman and William G. Herrington

Table of contents

1 Introduction 

2 Chronic kidney disease

• CKD definition and staging
• Causes of CKD
• Screening for CKD
• Drug dosing in CKD
• Assessing kidney failure risk in CKD
• Impact of CVD on CKD
• Other complications of CKD

3 Patterns of CVD in CKD

• Epidemiology of different CVD in CKD
• Assessing cardiovascular risk in CKD

4 Kidney failure and cardiovascular risk reduction in CKD

• Lifestyle factors in CKD
• Blood pressure in CKD
  •  Pharmacotherapy and interventional management
• Dyslipidaemia in CKD
• Antithrombotic therapy in CKD without symptomatic atherosclerotic cardiovascular disease
• Specific pharmacological interventions to reduce cardiovascular and/or kidney failure risk in CKD
• Glycaemic control in CKD

5 Heart failure and CKD

• Screening and diagnosis of heart failure
• Management of chronic heart failure and CKD
• Management of patients with decompensated heart failure and CKD
• Monitoring kidney function in the treatment of heart failure
• Monitoring kidney function in chronic heart failure
  • Monitoring kidney function in decompensated heart failure
• Advanced heart failure and CKD

6 Atherosclerotic cardiovascular disease and CKD

• Chronic coronary syndrome
• Acute coronary syndrome
• Peripheral arterial and aortic disease
• Cerebrovascular disease

7 Thromboembolic disease and CKD

8 Arrhythmias, sudden death, and CKD

• Atrial fibrillation
  • Screening and risk assessment
  • Anticoagulation
  • Cardioversion and catheter ablation
• Ventricular arrhythmia and sudden cardiac death

9 Valvular heart disease and CKD

10 Acute kidney injury and prevention of important peri-procedural changes in kidney function

11 CVD and maintenance dialysis

12 CVD and kidney transplantation

• Prior to kidney transplantation
• Kidney transplant recipients60

13 Person-centred care

• Communication and cross- and multidisciplinary care
• Palliative and advanced care60

14 Practical guidance