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心肾综合征和心力衰竭。

Cardiorenal syndrome and heart failure.

机构信息

University of Ottawa Heart Institute, Ontario, Canada.

出版信息

Curr Opin Cardiol. 2010 Mar;25(2):141-7. doi: 10.1097/hco.0b013e328335fed7.

Abstract

PURPOSE OF REVIEW

Concomitant anemia, heart failure, and renal disease can be seen in a large proportion of patients with heart failure. The purpose of this review is to discuss the current definitions and mechanisms involved in this pathophysiological relationship, as well as the potential management and treatment options available for these patients.

RECENT FINDING

Dysfunctional heart can promote the dysfunction of the kidneys through a variety of pathophysiological mechanism, the reciprocal holds true as well. Heart failure has been considered as the most common type of cardiovascular complication seen in patients with renal failure. Central to this relationship lies anemia, which can be the result or the cause of either heart or kidney disease.

SUMMARY

Cardiorenal syndrome is a complex condition, which requires the collaboration and resources from cardiology, cardiac surgery, nephrology, and critical care. Of great importance is recognizing the presence of cardiorenal syndrome and appreciating the impact it can play on treatment options and survival.

摘要

目的综述

心力衰竭患者中很大一部分会同时出现贫血、心力衰竭和肾脏疾病。本文旨在讨论这种病理生理关系的现有定义和机制,以及这些患者潜在的治疗选择。

最近的发现

功能失调的心脏可以通过多种病理生理机制导致肾脏功能障碍,反之亦然。心力衰竭被认为是肾衰竭患者最常见的心血管并发症类型。这种关系的核心是贫血,它既可以是心脏疾病的结果,也可以是肾脏疾病的原因。

总结

心肾综合征是一种复杂的疾病,需要心脏病学、心脏外科学、肾脏病学和重症监护等多个学科的协作和资源。重要的是要认识到心肾综合征的存在,并了解它对治疗选择和生存的影响。

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