Serum cardiac troponin concentration is commonly increased in chronicrenal failure in absence of any cardiac problem. It is increasingly acceptedthat this increase reflect a risk of cardiovascular event. Cardiovaulrmortality is considered to be one of the most important causes of mortalityin chronic renal failure. Echocardiographic evaluation is the bestcorrelation between serum cardiac troponin T and cardiac dysfunction.Aiming for adequate control of myocardial injury, and decease mortality,Wis improving outcome.