Indolfi Ciro, Barillà Francesco, Basile Christian, Basso Cristina, Cantaluppi Vincenzo, Capasso Giovambattista, Ciccone Marco Matteo, Contessi Stefano, Curcio Antonio, De Nicola Luca, Esposito Ciro, Imeraj Amantia, Lecis Dalgisio, Mancone Massimo, Marengo Marita, Mercuro Giuseppe, Merlo Marco, Metra Marco, Adamo Marianna, Muscoli Saverio, Nodari Savina, Pagura Linda, Paoletti Ernesto, Paolillo Stefania, Pedrinelli Roberto, Perrone Filardi Pasquale, Pertosa Giovanni Battista, Pezzato Andrea, Pontremoli Roberto, Romeo Francesco, Ruggenenti Piero, Ronco Claudio, Santoro Antonio, Sinagra Gianfranco, Spaccarotella Carmen, Zippo Dauphine, Zoccali Carmine, Messa Piergiorgio
Istituto di Cardiologia, Dipartimento di Scienze Mediche e Chirurgiche, Università degli Studi "Magna Graecia", Catanzaro - Mediterranea Cardiocentro, Napoli.
Dipartimento di Medicina dei Sistemi, Università degli Studi "Tor Vergata", Roma.
G Ital Cardiol (Rome). 2022 Oct;23(10):793-812. doi: 10.1714/3881.38645.
Chronic kidney disease and cardiovascular disease are strictly connected each other with a bidirectional interaction. Thus, the prevention of cardio-renal damage, as its appropriate treatment, are essential steps for a correct management of long-term patients' prognosis. Several preventive and therapeutic strategies, pharmacological and not, are now available for cardio-renal damage prevention and treatment, and for the management of its complications. The second part of this consensus document focuses on the management and treatment of cardio-renal damage, directing the attention on the correct use of drugs that may slow renal disease progression, on the application of preventive strategies in case of invasive cardiac procedures with the use of contrast agents, and on the accurate use of cardiological drugs in patients with chronic kidney disease.
慢性肾脏病与心血管疾病通过双向相互作用紧密相连。因此,预防心肾损害及其恰当治疗是正确管理长期患者预后的关键步骤。目前有多种预防和治疗策略,包括药物及非药物策略,可用于预防和治疗心肾损害及其并发症。本共识文件的第二部分聚焦于心肾损害的管理与治疗,关注可能减缓肾病进展的药物的正确使用、在使用造影剂的侵入性心脏手术中预防策略的应用,以及慢性肾脏病患者心脏病药物的精准使用。