Saturday, January 22

Kidney stones and their relationship with cardiovascular disease

If we have first or second generation relatives who have suffered renal colic, we must be vigilant.

If we have first or second generation relatives who have suffered renal colic, we must be vigilant.

Dr. Bartolomé Lloret, urologist at the Vithas Medimar Hospital, explains the relationship between kidney stones and cardiovascular diseases.

Can kidney stones predict myocardial infarction?

It seems strange but it’s true there is a direct relationship between suffering kidney stones formed by calcium and certain cardiovascular diseases such as hypertension, angina pectoris or myocardial infarction.

On the one hand, we know that approximately 10% of men and 7% of women will suffer renal colic in their lifetime and the possibility that the calculus or stone that your kidneys have formed is calcium is 67%. On the other hand, it is being observed that patients who formed calcium stones with relative frequency, had more possibilities of suffering from all kinds of cardiocirculatory diseases.

Studying these patients we realize that in his arteries there was an excess of calcium deposit, many times associated with osteoporosis. If we analyze the data we realize that the process is quite logical. Osteoporosis occurs, leading to excess calcium in the blood, which entails the deposit of calcium in the walls of the arteries, which will be the origin of various cardiovascular diseases such as hypertension, angina, heart attack, etc.

How can we prevent the formation of stones?

First of all, if we have first or second generation relatives who have suffered kidney colic, we must be vigilant, as we know that 50% of stone-forming patients are so by inheritance.

Second, the diet. The formation of calcium stones will be 50% of genetic origin, the rest will be closely linked to the diet.

The intake of substances rich in calcium, as well as those that contain a large amount of sodium, potassium, oxalate, etc. they will increase the risk of forming stones in the urinary system. Yes, besides, we drink a little liquid, less than a liter and a half of water a day we have created the perfect situation to suffer from renal colic.

What tests should we undergo when we have suffered from kidney colic on several occasions?

Diseases or functional alterations of our body rarely occur in isolationTherefore, we must always try to find the origin of the problem and not settle for just solving it.

For this, some simple but very useful studies are necessary:

  • Metabolic study: consists of 24-hour blood and urine tests. This analysis will allow us to discover if elements such as sodium, potassium, oxalate, uric acid … are found in an adequate proportion in both blood and urine.
  • Bone densitometry: allows us to discover if our body is destroying bone to obtain calcium.
  • Occasionally a vascular study that will allow us to know if this calcium may be accumulating in our arteries.

  • Imaging tests such as radiology, CT: They will tell us if stones are forming in our urinary system, even if we are not realizing it.

If even after doing everything possible, stones have formed in our kidneys, we can rest easy, technological advances such as extracorporeal shock wave lithotripsy, endoscopic lithotripsy, etc. they will solve more than 90% of the cases in a simple and very effective way.

At our lithiasis unit of the Vithas Medimar Hospital we advise:

  • Early diagnosis of kidney stones

  • Proper treatment: shock waves

  • Study to prevent the formation of urolithiasis

Dr. Bartolomé Lloret, urologist at the Vithas Medimar Hospital

More information

Dr. Bartolomé Lloret

Urology Department Hospital Vithas Medimar

Tel: 965 26 90 70

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