Management of Chronic Cardiorenal Syndrome

被引:8
作者
Attanasio, Philipp
Ronco, Claudio [2 ]
Anker, Markus S.
Ponikowski, Piotr [4 ]
Anker, Stefan D. [1 ,3 ]
机构
[1] Charite, Campus Virchow Klinikum, Dept Cardiol, Div Appl Cachexia Res, DE-13353 Berlin, Germany
[2] San Bortolo Hosp, Dept Nephrol Dialysis & Transplantat, Int Renal Res Inst, Vicenza, Italy
[3] IRCCS San Raffaele, Ctr Clin & Basic Res, Rome, Italy
[4] Med Univ, Fac Publ Hlth, Dept Cardiac, Mil Hosp, Wroclaw, Poland
来源
CARDIORENAL SYNDROMES IN CRITICAL CARE | 2010年 / 165卷
关键词
CHRONIC HEART-FAILURE; ANGIOTENSIN-RECEPTOR BLOCKER; BLOOD-PRESSURE CONTROL; DIALYSATE SODIUM CONCENTRATION; WORSENING RENAL-FUNCTION; CHRONIC KIDNEY-DISEASE; HEMODIALYSIS-PATIENTS; INTRAVENOUS IRON; VASCULAR CALCIFICATION; MYOCARDIAL-INFARCTION;
D O I
10.1159/000313751
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
Patients with heart failure (HF) often have renal dysfunction and patients with kidney disease develop congestive HF, therefore the concept of cardiorenal syndromes evolved which can be a chronic or acute cardiorenal syndrome. Both chronic renal and heart disease share comorbidities like anemia which cause symptoms, disease progression and increase the risk of hospital admission and mortality. Even though there are clinical guidelines for managing both dysfunctions separately, patients with severe HF or severe kidney disease have often been excluded from clinical trials of the respective other disorder. We outline here a summary of the current state of the art of the clinical practice to manage patients with chronic cardiorenal syndrome using drug therapy. We will furthermore focus on that management of anemia and iron deficiency in particular as there have been recent advances. Copyright (C) 2010 S. Karger AG, Basel
引用
收藏
页码:129 / 139
页数:11
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