Acute Kidney Injury in Cardiogenic Shock: An Updated Narrative Review

被引:22
作者
Singh, Sohrab [1 ]
Kanwar, Ardaas [2 ]
Sundaragiri, Pranathi R. [3 ]
Cheungpasitporn, Wisit [4 ]
Truesdell, Alexander G. [5 ]
Rab, Syed Tanveer [6 ]
Singh, Mandeep [7 ]
Vallabhajosyula, Saraschandra [8 ]
机构
[1] Brooklyn Hosp, Dept Med, Brooklyn, NY 11201 USA
[2] Univ Minnesota, Sch Med, Dept Med, Minneapolis, MN 55455 USA
[3] Wake Forest Baptist Hlth, Sect Primary Care Internal Med, High Point, NC 27262 USA
[4] Mayo Clin, Dept Med, Div Nephrol & Hypertens, Rochester, MN 55905 USA
[5] Virginia Heart, Inova Heart & Vasc Inst, Falls Church, VA 22042 USA
[6] Emory Univ, Sch Med, Dept Med, Sect Intervent Cardiol,Div Cardiovasc Med, Atlanta, GA 30322 USA
[7] Mayo Clin, Dept Cardiovasc Med, Rochester, MN 55905 USA
[8] Wake Forest Univ Sch Med, Dept Med, Sect Cardiovasc Med, Winston Salem, NC 27262 USA
关键词
acute kidney injury; cardiogenic shock; acute myocardial infarction; critical care cardiology; ACUTE MYOCARDIAL-INFARCTION; RENAL REPLACEMENT THERAPY; C-REACTIVE PROTEIN; CONTINUOUS VENOVENOUS HEMOFILTRATION; EXTRACORPOREAL MEMBRANE-OXYGENATION; CRITICALLY-ILL PATIENTS; ACUTE CORONARY SYNDROME; CARDIORENAL SYNDROME; ORGAN FAILURE; CONTEMPORARY MANAGEMENT;
D O I
10.3390/jcdd8080088
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute myocardial infarction with cardiogenic shock (AMI-CS) is associated with high mortality and morbidity despite advancements in cardiovascular care. AMI-CS is associated with multiorgan failure of non-cardiac organ systems. Acute kidney injury (AKI) is frequently seen in patients with AMI-CS and is associated with worse mortality and outcomes compared to those without. The pathogenesis of AMI-CS associated with AKI may involve more factors than previously understood. Early use of renal replacement therapies, management of comorbid conditions and judicious fluid administration may help improve outcomes. In this review, we seek to address the etiology, pathophysiology, management, and outcomes of AKI complicating AMI-CS.
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页数:14
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