Cardiorenal syndrome – from a nephrologist’s point of view
Authors:
B. Řepová; O. Viklický
Published in:
Kardiol Rev Int Med 2012, 14(4): 237-239
Category:
Overview
Cardiorenal syndrome is a term used to describe a very close relationship between heart and kidneys. Underlying pathophysiological mechanisms are still not fully understood and are still a subject of discussion. Cardiorenal syndrome classification system was proposed recently and divides cardiorenal syndrome into five groups. Cardiorenal syndrome has gained much attention from both cardiologists and nephrologists because of its association with significant morbidity and mortality. Many patients with heart failure have certain stage of renal dysfunction, and it was shown that the stage of renal dysfunction is a predictor of adverse prognosis as ejection fraction. On the other hand, patients with renal failure – when compared with healthy subjects – are significantly more likely to suffer from cardiovascular diseases. In this paper we explore the epidemiology and classification of cardiorenal syndrome, and then describe different pathophysiological mechanisms leading to the development of cardiorenal syndrome and eventually we focus on the therapeutic strategy.
Keywords:
cardiorenal syndrome – heart failure – renal insufficiency
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