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心肾综合征病理生理学与治疗的最新进展

An Update on the Pathophysiology and Treatment of Cardiorenal Syndrome.

作者信息

Raina Rupesh, Nair Nikhil, Chakraborty Ronith, Nemer Lena, Dasgupta Rahul, Varian Kenneth

机构信息

Department of Nephrology, Akron Nephrology Associates at Cleveland Clinic Akron General Medical Center, Akron, OH, USA.

Department of Pediatric Nephrology, Akron Children's Hospital, Akron, OH, USA.

出版信息

Cardiol Res. 2020 Apr;11(2):76-88. doi: 10.14740/cr955. Epub 2020 Mar 10.

DOI:10.14740/cr955
PMID:32256914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7092771/
Abstract

Cardiorenal syndrome (CRS) encompasses various disorders of the heart and kidneys; dysfunction of one organ leads to acute or chronic dysfunction of the other. It incorporates the intersection of heart-kidney interactions across several mediums, hemodynamically, through the alterations in neurohormonal markers, and increased venous and renal pressure, all of which are hallmarks of its clinical phenotypes. This article explores the epidemiology, pathology, classification and treatment of each type of CRS.

摘要

心肾综合征(CRS)涵盖了心脏和肾脏的多种病症;一个器官的功能障碍会导致另一个器官的急性或慢性功能障碍。它包含了心肾相互作用在多个层面的交集,包括血流动力学层面,通过神经激素标志物的改变以及静脉压和肾内压的升高,所有这些都是其临床表型的特征。本文探讨了每种类型CRS的流行病学、病理学、分类和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/fee5ca166806/cr-11-076-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/5a2d03c5cf68/cr-11-076-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/6eb29fece18a/cr-11-076-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/81ffbec30262/cr-11-076-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/808a0389f8dc/cr-11-076-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/fee5ca166806/cr-11-076-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/5a2d03c5cf68/cr-11-076-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/6eb29fece18a/cr-11-076-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/81ffbec30262/cr-11-076-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/808a0389f8dc/cr-11-076-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31b/7092771/fee5ca166806/cr-11-076-g005.jpg

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Peritoneal dialysis as a therapeutic solution in elderly patients with cardiorenal syndrome and heart failure: A case-series report.腹膜透析在老年心肾综合征伴心力衰竭患者中的治疗作用:一项病例系列报告。
Hellenic J Cardiol. 2020 Mar-Apr;61(2):73-77. doi: 10.1016/j.hjc.2019.04.010. Epub 2019 May 2.
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Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies: A Scientific Statement From the American Heart Association.心脏肾脏综合征:分类、病理生理学、诊断和治疗策略:美国心脏协会的科学声明。
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Elevated atherogenic index of plasma is associated with increased cardiorenal syndrome prevalence: a cross-sectional study.血浆致动脉粥样硬化指数升高与心肾综合征患病率增加相关:一项横断面研究。
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