Chronic kidney disease (CKD) is a significant public health problem in United States, particularly in southern states like Louisiana. People with CKD and end-stage renal disease (ESRD) have a poor survival compared with general population, and this is primarily due to a higher prevalence of cardiovascular disease in this population. Almost 50% of deaths in patients with CKD are attributable to cardiovascular disease. The prevalence of cardiac arrhythmias, sudden cardiac death (SCD), myocardial infarction, congestive heart failure (CHF), stroke and peripheral arterial disease is all more common in patients with CKD compared with general population.