Cardiorenal Syndrome Pathophysiology

被引:121
作者
Kumar, Ujjala [1 ]
Wettersten, Nicholas [2 ]
Garimella, Pranav S. [1 ]
机构
[1] Univ Calif San Diego, Div Nephrol Hypertens, 9500 Gilman Dr 9111H, La Jolla, CA 92093 USA
[2] Univ Calif San Diego, Div Cardiol, 9434 Med Ctr Dr, La Jolla, CA 92037 USA
关键词
Cardiorenal; Venous congestion; Intra-abdominal pressure; RAAS; Oxidative stress; Inflammatory mediators; Uremic toxins; C-REACTIVE PROTEIN; WORSENING RENAL-FUNCTION; DECOMPENSATED HEART-FAILURE; 11TH CONSENSUS CONFERENCE; CHRONIC KIDNEY-DISEASE; LOW-DOSE DOPAMINE; INDOXYL SULFATE; ANGIOTENSIN-II; OXIDATIVE STRESS; CARDIOVASCULAR MORTALITY;
D O I
10.1016/j.ccl.2019.04.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiorenal syndrome commonly refers to the collective dysfunction of heart and kidney resulting in a cascade of feedback mechanism causing damage to both the organs and is associated with adverse clinical outcomes. The pathophysiology of cardiorenal syndrome is complex, multifactorial, and dynamic. Improving the understanding of disease mechanisms will aid in developing targeted pharmacologic and nonpharmacologic therapies for the management of this syndrome. This article discusses the various mechanisms involved in the pathophysiology of the cardiorenal syndrome.
引用
收藏
页码:251 / +
页数:16
相关论文
共 110 条
[1]   Prospective assessment of the occurrence of anemia in patients with heart failure: Results from the Study of Anemia in a Heart Failure Population (STAMINA-HFP) Registry [J].
Adams, Kirkwood F., Jr. ;
Patterson, John H. ;
Oren, Ron M. ;
Mehra, Mandeep R. ;
O'Connor, Christopher M. ;
Pina, Ileana L. ;
Miller, Alan B. ;
Chiong, Jun R. ;
Dunlap, Stephanie H. ;
Cotts, William G. ;
Felker, Gary M. ;
Schocken, Douglas D. ;
Schwartz, Todd A. ;
Ghali, Jalal K. .
AMERICAN HEART JOURNAL, 2009, 157 (05) :926-932
[2]   Worsening Renal Function in Patients With Acute Heart Failure Undergoing Aggressive Diuresis Is Not Associated With Tubular Injury [J].
Ahmad, Tariq ;
Jackson, Keyanna ;
Rao, Veena S. ;
Tang, W. H. Wilson ;
Brisco-Bacik, Meredith A. ;
Chen, Horng H. ;
Felker, G. Michael ;
Hernandez, Adrian F. ;
O'Connor, Christopher M. ;
Sabbisetti, Venkata S. ;
Bonventre, Joseph V. ;
Wilson, F. Perry ;
Coca, Steven G. ;
Testani, Jeffrey M. .
CIRCULATION, 2018, 137 (19) :2016-2028
[3]   Clinical course and predictive value of congestion during hospitalization in patients admitted for worsening signs and symptoms of heart failure with reduced ejection fraction: findings from the EVEREST trial [J].
Ambrosy, Andrew P. ;
Pang, Peter S. ;
Khan, Sadiya ;
Konstam, Marvin A. ;
Fonarow, Gregg C. ;
Traver, Brian ;
Maggioni, Aldo P. ;
Cook, Thomas ;
Swedberg, Karl ;
Burnett, John C., Jr. ;
Grinfeld, Liliana ;
Udelson, James E. ;
Zannad, Faiez ;
Gheorghiade, Mihai .
EUROPEAN HEART JOURNAL, 2013, 34 (11) :835-843
[4]  
[Anonymous], 2012, HEART FAILURE PATHOP
[5]  
[Anonymous], HLTH US SPECIAL FEAT
[6]  
[Anonymous], OXIDATIVE STRESS CHR
[7]  
[Anonymous], CARD CONN HEART FAIL
[8]   End-stage renal disease, atherosclerosis, and cardiovascular mortality: Is C-reactive protein the missing link? [J].
Arici, M ;
Walls, J .
KIDNEY INTERNATIONAL, 2001, 59 (02) :407-414
[9]   Glomerular filtration rate, albuminuria, and risk of cardiovascular and all-cause mortality in the US population [J].
Astor, Brad C. ;
Hallan, Stein I. ;
Miller, Edgar R., III ;
Yeung, Edwina ;
Coresh, Josef .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2008, 167 (10) :1226-1234
[10]   Vasopressin contributes to hyperfiltration, albuminuria, and renal hypertrophy in diabetes mellitus: Study in vasopressin-deficient Brattleboro rats [J].
Bardoux, P ;
Martin, H ;
Ahloulay, M ;
Schmitt, F ;
Bouby, N ;
Trinh-Trang-Tan, MM ;
Bankir, L .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1999, 96 (18) :10397-10402