Renal Assessment in Acute Cardiorenal Syndrome

被引:5
作者
Lagosz, Piotr [1 ,2 ]
Biegus, Jan [1 ,2 ]
Urban, Szymon [1 ]
Zymlinski, Robert [1 ,2 ]
机构
[1] Wroclaw Med Univ, Inst Heart Dis, PL-50556 Wroclaw, Poland
[2] Univ Clin Hosp, Inst Heart Dis, PL-50556 Wroclaw, Poland
关键词
heart failure; cardiorenal syndrome; kidney injury; renal function; renal biomarkers; GELATINASE-ASSOCIATED LIPOCALIN; ACUTE HEART-FAILURE; ACUTE KIDNEY INJURY; ELEVATED INTRAABDOMINAL PRESSURE; CENTRAL VENOUS-PRESSURE; PROGNOSTIC VALUE; CYSTATIN-C; TECHNICAL RECOMMENDATIONS; CLINICAL CHARACTERISTICS; FUNCTIONAL RESERVE;
D O I
10.3390/biom13020239
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Cardiorenal syndrome (CRS) is a complex, heterogeneous spectrum of symptoms that has kept cardiologists awake for decades. The heart failure (HF) population being burdened with multimorbidity poses diagnostic and therapeutic challenges even for experienced clinicians. Adding deteriorated renal function to the equation, which is one of the strongest predictors of adverse outcome, we measure ourselves against possibly the biggest problem in modern cardiology. With the rapid development of new renal assessment methods, we can treat CRS more effectively than ever. The presented review focuses on explaining the pathophysiology, recent advances and current practices of monitoring renal function in patients with acute CRS. Understanding the dynamic interaction between the heart and the kidney may improve patient care and support the selection of an effective and nephroprotective treatment strategy.
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页数:20
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