Cardiorenal Syndrome - 20/03/21

Doi : 10.1016/j.ccc.2020.11.003

Zaccaria Ricci, MD ^a,^b,^⁎ , Stefano Romagnoli, MD, PhD ^b,^c , Claudio Ronco, MD ^d,^e
^a Department of Cardiology and Cardiac Surgery, Pediatric Cardiac Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, P.zza S.Onofrio 4, Rome 00165, Italy
^b Department of Health Science, University of Florence, Florence, Italy
^c Department of Anesthesiology and Intensive Care, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla, 3, Florence 50139, Italy
^d International Renal Research Institute of Vicenza (IRRIV), Vicenza, Italy
^e Department of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Via Rodolfi 37, Vicenza 36100, Italy

^∗Corresponding author. Department of Cardiology and Cardiac Surgery, Pediatric Cardiac Intensive Care Unit, Bambino Gesù Children’s Hospital, IRCCS, P.zza S.Onofrio 4, Rome 00165, Italy.Department of Cardiology and Cardiac SurgeryPediatric Cardiac Intensive Care UnitBambino Gesù Children’s HospitalIRCCSP.zza S.Onofrio 4Rome00165Italy

Résumé

Cardiorenal syndrome (CRS) describes a specific acute and chronic clinical picture in which the heart or the kidney are primarily dysfunctioning and secondarily affect each other. CRS is divided into five classes: acute and chronic CRS, acute and chronic renocardiac syndromes, and secondary dysfunction of heart and kidneys. This article specifically details the classification and the epidemiology, some risk factors, and the pathophysiology of CRS. Some emerging aspects of CRS are also discussed, such as CRS in patients with end-stage heart failure, with mechanical ventricular assistance, and after heart transplantation. Finally, some aspects of pediatric CRS are detailed.

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Keywords : Cardiorenal syndrome, Renocardiac syndrome, Heart failure, Acute kidney injury, Heart transplantation, Ventricular-assist device, Pediatric cardiorenal syndrome

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Introduction: the definition of cardiorenal syndrome

Cardiorenal syndrome in adults

Cardiorenal syndrome in patients supported by artificial heart support and after heart transplantation

Cardiorenal syndrome in children

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Vol 37 - N° 2

P. 335-347 - avril 2021 Retour au numéro

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Cardiorenal Syndrome - 20/03/21

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