García-Donaire José A, Ruilope Luis M
Hypertension Unit, Hospital 12 de Octubre, Avenida Córdoba s/n, 28041 Madrid, Spain.
Int J Nephrol. 2011;2011:975782. doi: 10.4061/2011/975782. Epub 2011 Mar 31.
The cardiorenal syndrome includes the widely known relationship between kidney function and cardiovascular disease. A large number of patients have various degrees of heart and kidney dysfunction worldwide, both in developed and developing countries. Disorders affecting one of them mostly involve the other. Such interactions represent the pathogenesis for a clinical condition called cardiorenal syndrome. Renal and cardiovascular disease shares similar etiologic risk factors. The majority of vascular events are caused by accelerated atherosclerosis. Moreover, cardiovascular events rarely occur in patients without underlying disease; rather, they typically take place as the final stage of a pathophysiological process that results in progressive vascular damage, including vital organ damage, specifically the kidney and the heart if these factors are uncontrolled. Chronic kidney disease is a novel risk factor included at this stage that accelerates both vascular and cardiac damage.
心肾综合征包括众所周知的肾功能与心血管疾病之间的关系。在全球范围内,无论是发达国家还是发展中国家,都有大量患者存在不同程度的心脏和肾脏功能障碍。影响其中一个器官的疾病大多会累及另一个器官。这种相互作用构成了一种名为心肾综合征的临床病症的发病机制。肾脏疾病和心血管疾病有相似的病因风险因素。大多数血管事件是由动脉粥样硬化加速所致。此外,没有基础疾病的患者很少发生心血管事件;相反,心血管事件通常发生在病理生理过程的最后阶段,该过程会导致进行性血管损伤,包括重要器官损伤,如果这些因素得不到控制,尤其会累及肾脏和心脏。慢性肾脏病是这一阶段出现的一个新的风险因素,它会加速血管和心脏损伤。