Cardiorenal syndrome: refining the definition of a complex symbiosis gone wrong

被引：167

作者：

Ronco, Claudio ^{[2
]}

House, Andrew A. ^{[3
]}

Haapio, Mikko ^{[1
]}

机构：

[1] HUCH Meilahti Hosp, Div Nephrol, Helsinki, Finland

[2] St Bortolo Hosp, Dept Nephrol, Vicenza, Italy

[3] London Hlth Sci Ctr, Div Nephrol, London, ON, Canada

来源：

INTENSIVE CARE MEDICINE | 2008年 / 34卷 / 05期

关键词：

cardiorenal syndrome; renocardiac syndrome; heart failure; congestive; kidney failure; biological markers;

D O I：

10.1007/s00134-008-1017-8

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: The term "cardiorenal syndrome" has generally been reserved for declining renal function in the setting of advanced congestive heart failure. Considering the complex and bi-directional relationship between the heart and the kidneys, we postulate refining the definition to recognize the symbiotic nature of these organs. Discussion: We divide the cardiorenal syndrome into five subtypes: type I, acute cardiorenal syndrome; type II, chronic cardiorenal syndrome; type III, acute renocardiac syndrome; type IV, chronic renocardiac syndrome; and type V, secondary cardiorenal syndrome. Conclusions: As early recognition of dysfunction in one organ may prove important in mitigating the spiral of co-dysfunction in both, the need for early and treatment-guiding biomarkers, along with their characteristics, are also discussed.

引用

页码：957 / 962

页数：6

共 34 条

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