ninety five Which has a high incidence of CAD in CKD patients98 such harm might be attributable to clinically-silent micro-infarcts (i.e. subclinical cardiac destruction).99 LV hypertrophy and raised LV preload are common in patients with ESRD, which could lead to greater cTn release due to myocardial strain and myocardial O2 offer-demand mismatch.