Extract

Sir,

I thank Drs Scorza, Arida and Cavalheiro for their kind comments and interesting letter. Their letter underscores the importance of cerebrovascular disease in ESRD patients, an area (in my opinion) that has not yet garnered the attention it deserves in relation to its clinical importance. In particular, I would highlight the issue of dementia and cognitive decline as a topic of critical interest for clinicians and patients.

Our correspondents’ point on the convergence of neurology, cardiology and nephrology is well taken, as the underlying mechanisms of microvascular disease are likely to overlap in the brain, heart and kidney.

Conflict of interest statement . None declared.

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