[How to motivate nephrologists to think more "cardiac" and cardiologists to think more "renal"?].

摘要: Cardiovascular diseases and cardiac complications are the major causes of death in patients with chronic kidney disease (CKD). Recently, even a modest degree impaired function (i.e. low estimated glomerular filtration rate or albuminuria) has been recognized as powerful cardiovascular risk factor, predictive value comparable to that classical factors. The acute myocardial infarction, angina pectoris, pulmonary edema associated left ventricular failure is high 10% per year, incidence sudden death, congestive heart failure. ischemic disease, complex arrhythmias reported be 9%, 10%, 17% 31%, 18%, respectively. cardiology nephrology experts proposed evaluation renal should part work-up disease. All screened for evidence Patients CKD need managed from cardiological like other general population (including percutaneous coronary interventions, surgery procedures). Some risks treatment, such bleeding technical complications, certainly more frequent patients, but, overall, cardiologists treat same vigor nonrenal patients. There very important exchange ideas informations between nephrologists. It time make departmental barriers permeable motivate think renal' nephrologists "cardial".