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心血管-肾脏-代谢综合征:一个当下紧迫的概念

Cardiovascular-kidney-metabolic Syndrome: a current and urgent concept.

作者信息

Abreu Andrea Pio de, Drager Luciano Ferreira, Almeida Madson Queiroz, Bortolotto Luiz Aparecido, Lopes Heno Ferreira

机构信息

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Nefrologia, São Paulo, SP, Brazil.

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto do Coração, Unidade de Hipertensão São Paulo, SP, Brazil.

出版信息

J Bras Nefrol. 2025 Apr-Jun;47(2):e20240277. doi: 10.1590/2175-8239-JBN-2024-0277en.

Abstract

The concept of cardiovascular-kidney-metabolic health is based on the idea of a multifaceted interaction among several cardiovascular, renal, and meta-bolic factors. Alterations in this complex interaction have a significant impact on morbidity and mortality. The ramifications of poor cardiovascular-kidney-metabolic health are far-reaching, with a notable clinical impact. A considerable proportion of the population is affected by precarious cardiovascular, renal, and metabolic health, and indivi-duals with adverse social determinants of health endure an even greater burden. To this end, it is essential to develop an approach that incorporates metabolic staging and prioritizes lifelong prevention. Equally imperative is integrating the social determinants of health into care models for Cardiovascular-kidney-metabolic syndrome, facilitating patient-centered interdisciplinary care. The American Heart Association (AHA) provides guidelines on the definition, staging, paradigms, and holistic approaches to the management of patients with this syndrome. Furthermore, it offers a comprehensive framework for effectively and equitably improving the cardiovascular, kidney, and metabolic health of the population.

摘要

心血管-肾脏-代谢健康的概念基于多种心血管、肾脏和代谢因素之间多方面相互作用的理念。这种复杂相互作用的改变对发病率和死亡率有重大影响。心血管-肾脏-代谢健康状况不佳的影响深远,具有显著的临床影响。相当一部分人口受到不稳定的心血管、肾脏和代谢健康状况的影响,而具有不良健康社会决定因素的个体承受的负担甚至更大。为此,制定一种纳入代谢分期并将终身预防作为优先事项的方法至关重要。同样重要的是,将健康的社会决定因素纳入心血管-肾脏-代谢综合征的护理模式,促进以患者为中心的跨学科护理。美国心脏协会(AHA)提供了关于该综合征患者管理的定义、分期、范例和整体方法的指南。此外,它还提供了一个全面的框架,以有效且公平地改善人群的心血管、肾脏和代谢健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bd/12092022/0a3265910549/2175-8239-jbn-47-2-e20240277-gf01.jpg

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