Cardiorenal Syndromes: An Executive Summary from the Consensus Conference of the Acute Dialysis Quality Initiative (ADQI)

被引:83
|
作者
Ronco, Claudio [1 ]
McCullough, Peter A. [2 ,3 ,4 ]
Anker, Stefan D. [5 ]
Anand, Inder [6 ]
Aspromonte, Nadia [7 ]
Bagshaw, Sean M. [8 ]
Bellomo, Rinaldo [9 ]
Berl, Tomas [10 ]
Bobek, Ilona [1 ]
Cruz, Dinna N. [1 ]
Daliento, Luciano [11 ]
Davenport, Andrew [12 ]
Haapio, Mikko [13 ]
Hillege, Hans [14 ]
House, Andrew [15 ]
Katz, Nevin M. [16 ]
Maisel, Alan [17 ,18 ]
Mankad, Sunil [19 ]
Zanco, Pierluigi [20 ]
Mebazaa, Alexandre [21 ]
Palazzuoli, Alberto [22 ]
Ronco, Federico [11 ,23 ]
Shaw, Andrew
Sheinfeld, Geoff [24 ]
Soni, Sachin [1 ,25 ]
Vescovo, Giorgio [26 ]
Zamperetti, Nereo [27 ]
Ponikowski, Piotr [28 ]
机构
[1] San Bortolo Hosp, Int Renal Res Inst, Dept Nephrol Dialysis & Transplantat, IT-36100 Vicenza, Italy
[2] William Beaumont Hosp, Dept Med, Div Cardiol, Royal Oak, MI 48072 USA
[3] William Beaumont Hosp, Dept Med, Div Nutr, Royal Oak, MI 48072 USA
[4] William Beaumont Hosp, Dept Med, Div Prevent Med, Royal Oak, MI 48072 USA
[5] Charite, Div Appl Cachexia Res, Dept Cardiol, D-13353 Berlin, Germany
[6] VA Med Ctr, Dept Cardiol, Minneapolis, MN USA
[7] St Spirito Hosp, Dept Cardiol, Rome, Italy
[8] Univ Alberta Hosp, Div Crit Care Med, Edmonton, AB T6G 2B7, Canada
[9] Austin Hosp, Dept Intens Care, Melbourne, Vic 3084, Australia
[10] Univ Colorado, Hlth Sci Ctr, Dept Nephrol, Denver, CO USA
[11] Univ Padua, Dept Cardiol, Padua, Italy
[12] Royal Free & Univ Coll Med Sch, UCL Ctr Nephrol, London WC1E 6BT, England
[13] Univ Helsinki, Cent Hosp, Div Nephrol, Helsinki, Finland
[14] Univ Groningen, Univ Med Ctr Groningen, Trial Coordinat Ctr, Dept Cardiol & Epidemiol, Hanzeplein, Netherlands
[15] Univ Western Ontario, Univ Hosp, Div Nephrol, London Hlth Sci Ctr, London, ON N6A 5A5, Canada
[16] George Washington Univ, Dept Surg, Washington, DC USA
[17] San Diego VA Med Ctr, Dept Med & Cardiol, San Diego, CA USA
[18] Univ Calif San Diego, San Diego, CA 92103 USA
[19] Mayo Clin, Dept Cardiol, Rochester, MN USA
[20] San Bortolo Hosp, Dept Nucl Med, Vicenza, Italy
[21] Univ Paris, Hop Lariboisiere, Dept Anesthesiol & Crit Care Med, Paris Diderot, France
[22] Univ Siena, Dept Internal Med, Le Scotte Hosp, I-53100 Siena, Italy
[23] Duke Univ, Med Ctr, Dept Anesthesiol, Durham, NC 27710 USA
[24] Univ Maryland, Dept Crit Care, Baltimore, MD 21201 USA
[25] Mediciti Hosp, Div Nephrol, Hyderabad, Andhra Pradesh, India
[26] San Bortolo Hosp, Dept Internal Med, Vicenza, Italy
[27] San Bortolo Hosp, Dept Intens Care, Vicenza, Italy
[28] Med Univ, Fac Publ Hlth, Dept Cardiac, Mil Hosp, Wroclaw, Poland
来源
关键词
ACUTE MYOCARDIAL-INFARCTION; CHRONIC KIDNEY-DISEASE; STAGE RENAL-DISEASE; HEART-FAILURE; CARDIOVASCULAR-DISEASE; CREATININE CLEARANCE; DIURETIC RESISTANCE; RIFLE CRITERIA; RISK; MORTALITY;
D O I
10.1159/000313745
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The cardiorenal syndrome (CRS) is a disorder of the heart and kidneys whereby acute or chronic dysfunction in one organ may induce acute or chronic dysfunction of the other. The general definition has been expanded into five subtypes reflecting the primacy of organ dysfunction and the time-frame of the syndrome: CRS type 1 = acute worsening of heart function leading to kidney injury and/or dysfunction; CRS type 2 = chronic abnormalities in heart function leading to kidney injury or dysfunction; CRS type 3 = acute worsening of kidney function leading to heart injury and/or dysfunction; CRS type 4 = chronic kidney disease leading to heart injury, disease and/or dysfunction, and CRS type 5 = systemic conditions leading to simultaneous injury and/or dysfunction of heart and kidney. Different pathophysiological mechanisms are involved in the combined dysfunction of heart and kidney in these five types of the syndrome. Copyright (C) 2010 S. Karger AG, Basel
引用
收藏
页码:54 / 67
页数:14
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