We do see a lot of times dysfunction of one organ affecting the function of the other.
Hepato renal was a perfect example of this type of entity
The triad of decreased kidney function, therapy resistant heart failure and diuretic resistance has been termed now cardiorenal syndrome.
According to the experts, there are several types:
1. Acute cardiorenal syndrome ( CRS type 1):- acute cardiac failure leading to kidney injury
2. Chronic cardiorenal syndrome ( CRS type 2):- long term ckd from long term cardiac failure
3. Acute renocardiac syndrome ( CRS type 3):- acute worsening of cardiac function due to kidney disease( perhaps Nephrotic syndrome would fit this best)
4. Chronic renocardiac syndrome ( CRS type 4):- long term cardiac changes due to long term CKD( wouldn't this be most of our CKD patients)
5. Secondary cardiorenal syndrome(CRS type 5):- systemic diseases that cause both kidney and heart to fail( amyloid comes to mind)
Check out a nice review in AJKD and the last references is a nice one that summarizes the five types of cardio renal syndromes
- ► 2020 (25)
- ► 2019 (42)
- ► 2018 (57)
- ► 2017 (52)
- ► 2016 (45)
- ► 2015 (63)
- ► 2014 (95)
- ► 2013 (133)
- ► 2012 (201)
- ► 2011 (370)
- Nephsap review: AKI and ICU Nephrology
- Minimal Change Disease
- IN THE NEWS- CALMAG TRIAL
- TOPIC DISCUSSION: Management of DKA in hemodialysi...
- Nephrology Fellows do better with online training!
- IN THE NEWS- Barbershop BP management is better th...
- Outcomes of kidney transplantation from HCV positi...
- IN THE NEWS- Permeability Factor and FSGS
- Salivary Prograf levels
- U 002 Nierentransplantation / kidney transplant
- TOPIC DISCUSSION: Green Urine
- FGF-23 and PTH and Bone Disease post transplant
- IN THE NEWS- Bilirubin might be protective
- Aspergilloma in the transplant kidney
- Racial Disparities in CKD, a presentation
- CONSULT ROUNDS: Page Kidney
- Renal Fellow Network: Pancreas transplant pearls
- TOPIC DISCUSSION: Different ARBS
- TOPIC DISCUSSION: Urinary Diversions
- Wait list and desensitization?
- CLINICAL CASE 27, ANSWERS and SUMMARY
- Sirolimus and Male Fertility
- IN THE NEWS:- Tiger on Dialysis
- IN THE NEWS:- Cardiorenal syndrome or renocardiac ...
- NEJM Case
- CONSULT ROUNDS: renal disease
- TOPIC DISCUSSION: Chronic Hyponatremia
- Quiz 7 Answers
- New Transplant Information website
- CONSULT ROUNDS: Free water excretion
- TOPIC DISCUSSION: SECONDARY VS PRIMARY FSGS
- TOPIC DISCUSSION: Maintenance of Metabolic Alkalosis
- REJECTION and TOLERANCE
- KIDNEY WEBSITES IN my languages!
- Renal Fellow Network: Key to angiotensin formation...
- JOURNAL CLUB: AASK TRIAL 2010
- TOPIC DISCUSSION: An uncommon consult:-OHSS!
- IN THE NEWS- Nephrology Workfore
- Basic concepts in Immunology
- Role Playing exercise in Transplant Education
- TOPIC DISCUSSION
- CLINICAL CASE 26 , ANSWER and SUMMARY
- ▼ October (42)