Cardiorenal Syndrome in Western Countries: Epidemiology, Diagnosis and Management Approaches
ثبت نشده
چکیده
Background: It is well established that a large number of hospitalized patients present various degrees of heart and kidney dysfunction; primary disease of the heart or kidney often involves dysfunction or injury to the other. Summary: Based on above-cited organ cross-talk, the term cardiorenal syndrome (CRS) was proposed. Although CRS was usually referred to as abruption of kidney function following heart injury, it is now clearly established that it can describe negative effects of an impaired renal function on the heart and circulation. The historical lack of clear syndrome definition and complexity of diseases contributed to a waste of precious time especially concerning diagnosis and therapeutic strategies. The effective classification of CRS proposed in a Consensus Conference by the Acute Dialysis Quality Group essentially divides CRS into two main groups, cardiorenal and renocardiac CRS, on the basis of primum movens of disease (cardiac or renal); both cardiorenal and renocardiac CRS are then divided into acute and chronic according to disease onset. Type 5 CRS integrates all cardiorenal involvement inReceived: July 26, 2016 Accepted after revision: July 28, 2016 Published online: September 10, 2016 Luca Di Lullo, MD, PhD Department of Nephrology and Dialysis L. Parodi-Delfino Hospital, Piazza Aldo Moro 1 IT–00034 Colleferro (Roma) (Italy) E-Mail dilulloluca69 @ gmail.com © 2016 S. Karger AG, Basel 2296–9381/16/0024–0151$39.50/0 www.karger.com/kdd For advances in the management of acute cardiorenal syndrome in China, see Hou and Yang, Kidney Dis 2016;2:145–150. D ow nl oa de d by : 54 .7 0. 40 .1 1 11 /2 0/ 20 17 1 :0 7: 05 P M
منابع مشابه
Cardiorenal Syndrome in Western Countries: Epidemiology, Diagnosis and Management Approaches
Background: It is well established that a large number of hospitalized patients present various degrees of heart and kidney dysfunction; primary disease of the heart or kidney often involves dysfunction or injury to the other. Summary: Based on above-cited organ cross-talk, the term cardiorenal syndrome (CRS) was proposed. Although CRS was usually referred to as abruption of kidney function fol...
متن کاملCardiorenal Syndrome in Western Countries: Epidemiology, Diagnosis and Management Approaches
Background: It is well established that a large number of hospitalized patients present various degrees of heart and kidney dysfunction; primary disease of the heart or kidney often involves dysfunction or injury to the other. Summary: Based on above-cited organ cross-talk, the term cardiorenal syndrome (CRS) was proposed. Although CRS was usually referred to as abruption of kidney function fol...
متن کاملCardiorenal Syndrome in Western Countries: Epidemiology, Diagnosis and Management Approaches.
BACKGROUND It is well established that a large number of hospitalized patients present various degrees of heart and kidney dysfunction; primary disease of the heart or kidney often involves dysfunction or injury to the other. SUMMARY Based on above-cited organ cross-talk, the term cardiorenal syndrome (CRS) was proposed. Although CRS was usually referred to as abruption of kidney function fol...
متن کاملCOVID-19 Pandemic: What Can the West Learn From the East?
Differences in public health approaches to control the coronavirus disease 2019 (COVID-19) pandemic could largely explain substantial variations in epidemiological indicators (such as incidence and mortality) between the West and the East. COVID-19 revealed vulnerabilities of most western countries’ healthcare systems in their response to the ongoing public health crisi...
متن کاملThe Cardiorenal Syndrome: A Review
Cardiorenal syndrome (CRS) is the umbrella term used to describe clinical conditions in which cardiac and renal dysfunctions coexist. Much has been written on this subject, but underlying pathophysiological mechanisms continue to be unravelled and implications for management continue to be debated. A classification system-incorporating five subtypes-has recently been proposed though it has yet ...
متن کامل