Kidneys and acute coronary syndrome

Czech version

Authors: P. Widimský; I. Rychlík
Published in: Kardiol Rev Int Med 2011, 13(1): 17-19
Category: From Hypertension to Heart Failure

Overview

The introduction of percutaneous coronary intervention into the routine treatment of patients with acute coronary syndrome led to a major reduction in patient mortality, while at the same time leading to new problems. One of the main issues is serious parallel diseases – e.g. chronic kidney disease. Cardiorenal syndrome is an expression sometimes used to refer to the complex relationship between diseases of the heart and kidney. Obviously this is not a real syndrome, but a pathophysiological relationship. Patients with chronic kidney disease and acute coronary syndrome usually have a very widespread and advanced coronary atherosclerosis (mostly with massive calcification of the coronary arteries), which increases the risk and lowers the success rate of revascularisation procedures. This overview addresses several aspects of the relationship between chronic kidney disease and acute coronary syndrome, including the contrast of induced nephropathy.

Keywords:
acute coronary syndromes – chronic kidney disease – percutaneous coronary intervention – contrast agents

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