| Volume overload and cardiorenal syndromes. | |
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MedLine Citation:
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PMID: 20653717 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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To include the vast array of interrelated derangements and to stress the bidirectional nature of the heart-kidney interactions, the classification of the cardiorenal syndrome today includes 5 subtypes whose terminology reflects their primary and secondary pathology, time frame, and the presence of concomitant cardiac and renal dysfunction. Cardiorenal syndromes (CRSs) are pathophysiologic disorders of the heart and kidneys whereby acute or chronic dysfunction of one organ may induce acute or chronic dysfunction of the other. Type 1 CRS reflects an abrupt worsening of cardiac function leading to acute kidney injury. Type 2 CRS describes chronic abnormalities in cardiac function causing progressive chronic kidney disease. Type 3 CRS consists in an abrupt worsening of renal function causing acute cardiac disorder. Type 4 CRS describes a state of chronic kidney disease contributing to decreased cardiac function, cardiac hypertrophy, and/or increased risk of adverse cardiovascular events. Type 5 CRS reflects a systemic condition (eg, sepsis) simultaneously causing both cardiac and renal dysfunction. Biomarkers can help characterize the subtypes of CRS as well as suggest the timing of treatment initiation and its likely effectiveness. The identification of patients and the pathophysiologic mechanisms underlying each syndrome subtype, including fluid overload or, in general, altered conditions of fluid status, can help physicians understand clinical derangements, provide the rationale for management strategies, and allow the design of future clinical trials with more accurate selection and stratification of the population under investigation. |
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Authors:
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Claudio Ronco; Alan Maisel |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Congestive heart failure (Greenwich, Conn.) Volume: 16 Suppl 1 ISSN: 1751-7133 ISO Abbreviation: Congest Heart Fail Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9714174 Medline TA: Congest Heart Fail Country: United States |
Other Details:
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Languages: eng Pagination: Si-iv; quiz Svi Citation Subset: IM |
Affiliation:
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Department of Nephrology, St Bortolo Hospital, Vicenza, Italy. cronco@goldnet.it |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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