Bedside Ultrasound in the Management of Cardiorenal Syndromes: An Updated Review

被引：8

作者：

Argaiz, Eduardo R. ^{[1
,2
]}

Romero-Gonzalez, Gregorio ^{[3
,4
]}

Rola, Philippe ^{[5
]}

Spiegel, Rory ^{[6
]}

Haycock, Korbin H. ^{[7
,8
]}

Koratala, Abhilash ^{[9
]}

机构：

[1] Tecnol Monterrey, Escuela Med & Ciencias Salud, Monterrey, Mexico

[2] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Nephrol Dept, Ciudad De Mexico, Mexico

[3] Univ Hosp Germans Trias & Pujol, Nephrol Dept, Badalona, Spain

[4] Int Renal Res Inst Vicenza, Vicenza, Italy

[5] Hop Santa Cabrini Osped CEMTL, Intens Care Unit, Montreal, PQ, Canada

[6] Georgetown Univ, Medstar Washington Hosp Ctr, Dept Crit Care, Washington, DC USA

[7] Loma Linda Univ Hlth, Dept Emergency Med, Loma Linda, CA USA

[8] Riverside Univ Hlth Syst, Dept Emergency Med, Moreno Valley, CA USA

[9] Med Coll Wisconsin, Div Nephrol, Milwaukee, WI USA

来源：

CARDIORENAL MEDICINE | 2023年 / 13卷 / 01期

关键词：

Cardiorenal syndrome; Venous Congestion; POCUS; VExUS; High Output Heart Failure; CENTRAL VENOUS-PRESSURE; HEART-FAILURE; LUNG ULTRASOUND; DOPPLER ULTRASONOGRAPHY; HEMODYNAMIC EVALUATION; HEMODIALYSIS-PATIENTS; KIDNEY-DISEASE; CONGESTION; FLOW; POINT;

D O I：

10.1159/000534976

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Cardiorenal syndromes constitute a spectrum of disorders involving heart and kidney dysfunction modulated by a complex interplay of neurohormonal, inflammatory and hemodynamic derangements. The management of such patients often poses a diagnostic and therapeutic challenge to physicians owing to gaps in understanding of pathophysiology, paucity of objective bedside diagnostic tools and individual biases. Summary: In this narrative review, we discuss the role of clinician performed bedside ultrasound in the management of patients with cardiorenal syndromes. Novel sonographic applications such as venous excess ultrasound (VExUS) are reviewed in addition to lung and focused cardiac ultrasound. Further, underrecognized causes of heart failure such as high flow arteriovenous fistula are discussed.

引用

页码：372 / 384

页数：13

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