The kidney in heart failure

被引：18
作者：
De Santo, NG
Cirillo, M
Perna, A
Pollastro, RM
Frangiosa, A
Di Stazio, E
Iorio, L
Di Leo, VA
Anastasio, P
机构：
[1] Univ Naples 2, Div Nephrol 1, I-80131 Naples, Italy
[2] De Bosis Hosp, Div Nephrol, Cassino, Italy
来源：
SEMINARS IN NEPHROLOGY | 2005年 / 25卷 / 06期
关键词：
kidney disease; congestive heart failure; renal resistance; GFR; RPF; FF; survival rate; creatinine clearance; cardiologist-nephrologist interaction;
D O I：
10.1016/j.semnephrol.2005.05.010
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Renal dysfunction is a constant feature of congestive heart failure and is a stronger predictor of mortality than left ventricular ejection fraction or New York Heart Association classification. In heart failure, a reduction of glomerular filtration rate and renal plasma flow occurs, although the filtration fraction increases. There are many reason for this pattern. A reduction in effective circulating volume stimulates sympathetic activity and the renin-angiotensin-aldosterone system, and it is associated with increased concentrations of atrial natriuretic peptide, brain natriuretic peptide, and tumor necrosis factor α. Because in chronic kidney disease heart dysfunction commonly is present, an efficient cardiologist-nephrologist interaction should be promoted. © 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码：404 / 407
页数：4
相关论文
共 28 条
[1]   THE RENAL BLOOD FLOW AND THE GLOMERULAR FILTRATION RATE IN CONGESTIVE HEART FAILURE AND SOME OTHER CLINICAL CONDITIONS - THE EFFECT OF EXERCISE AND HYPOXEMIA - A PRELIMINARY REPORT [J].
AAS, K ;
BLEGEN, E .
SCANDINAVIAN JOURNAL OF CLINICAL & LABORATORY INVESTIGATION, 1949, 1 (01) :22-32
[2]  
Anand Inder S., 1997, P155
[3]   Pathogenesis of renal sodium retention in congestive heart failure [J].
Andreoli, TE .
MINERAL AND ELECTROLYTE METABOLISM, 1999, 25 (1-2) :11-20
[4]  
ANDREOLI TE, 1997, KIDNEY, V51, pS11
[5]  
ARCIERI JP, 1945, CIRCULATION BLOOD A, P47
[6]  
BURNETT JC, 2004, HEART FAILURE
[7]   Renal reserve is normal in patients with dilative cardiomyopathy waiting for heart transplantation [J].
Frangiosa, A ;
Spitali, L ;
Molino, D ;
Cirillo, E ;
De Santo, LS ;
Marra, C ;
Maiello, C ;
De Vivo, F ;
Pascale, C ;
Favazzi, P ;
Di Leo, VA ;
De Santo, NG ;
Anastasio, P .
MINERAL AND ELECTROLYTE METABOLISM, 1999, 25 (1-2) :24-27
[8]  
HARRIS P, 1987, BRIT HEART J, V58, P190
[9]  
HARRIS P, 1988, LANCET, V1, P1036
[10]   Renal function, neurohormonal activation, and survival in patients with chronic heart failure [J].
Hillege, HL ;
Girbes, ARJ ;
de Kam, PJ ;
Boomsma, F ;
de Zeeuw, D ;
Charlesworth, A ;
Hampton, JR ;
van Veldhuisen, DJ .
CIRCULATION, 2000, 102 (02) :203-+
123