Diuretics in the Management of Cardiorenal Syndrome

被引:17
|
作者
Chitturi, Chandrika [1 ]
Novak, James E. [1 ]
机构
[1] Henry Ford Hosp, Detroit, MI 48202 USA
关键词
Cardiorenal syndrome; Congestive heart failure; Chronic kidney disease; Diuretics; Diuretic resistance; ACUTE HEART-FAILURE; DISTAL CONVOLUTED TUBULE; EUROPEAN-SOCIETY; BLOOD-PRESSURE; RENAL-FUNCTION; TASK-FORCE; FUROSEMIDE; ASSOCIATION; MECHANISMS; CARDIOLOGY;
D O I
10.1053/j.ackd.2018.08.008
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 leading cause of death worldwide is cardiovascular disease. The heart and the kidneys are functionally interdependent, such that dysfunction in one organ may cause dysfunction in the other. By one estimate, more than 60% of patients with congestive heart failure develop chronic kidney disease. Volume overload and congestion are hallmarks of heart failure, and these findings are associated with severe symptoms and poor outcomes. Given the importance of congestion, diuretics remain a cornerstone of heart failure management. However, diuretic treatment remains largely empirical, with little evidence currently available to guide decisions. In this review, we discuss the pathophysiology of cardiorenal syndrome, the pharmacology of loop diuretics, mechanisms of diuretic resistance, and evidence-based treatment paradigms. (C) 2018 by the National Kidney Foundation, Inc. All rights reserved.
引用
收藏
页码:425 / 433
页数:9
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