心肾综合症
急性肾损伤
医学
高钾血症
心脏功能不全
容量过载
多器官功能障碍综合征
病理生理学
重症监护医学
内科学
器官功能障碍
肾
心脏病学
心力衰竭
败血症
作者
Luca Di Lullo,Patrick Reeves,Antonio Bellasi,Claudio Ronco
标识
DOI:10.1016/j.semnephrol.2018.10.003
摘要
Varying degrees of cardiac and kidney dysfunction commonly are observed in hospitalized patients. As a demonstration of the significant interplay between the heart and kidneys, dysfunction or injury of one organ often contributes to dysfunction or injury of the other. The term cardiorenal syndrome (CRS) was proposed to describe this complex organ cross-talk. Type 3 CRS, also known as acute renocardiac syndrome, is a subtype of CRS that occurs when acute kidney injury contributes to or precipitates the development of acute cardiac dysfunction. Acute kidney injury may directly or indirectly produce acute cardiac dysfunction by way of volume overload, metabolic acidosis, electrolyte disorders such as hyperkalemia and hypocalcemia, and other mechanisms. In this review, we examine the definition, epidemiology, pathophysiology, and treatment options for CRS with an emphasis on type 3 CRS.
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