Prevention of cardiorenal syndromes.

摘要: The cardiorenal syndromes (CRS) are composed of five recently defined which represent common clinical scenarios in both the heart and kidney involved a bidirectional injury process leading to dysfunction organs. Common each subtype multiple complex pathogenic factors, precipitous decline function progressive course. Most pathways that lead CRS involve acute organs manifest evidence chronic disease, suggesting reduced ability sustain damage, maintain vital functions, facilitate recovery. Prevention is an ideal goal, because once initiated, cannot be readily aborted, not completely reversible, associated with serious consequences including hospitalization, complicated procedures, need for renal replacement therapy, death. Principles prevention include identification amelioration precipitating optimal management diseases, future use multimodality therapies end-organ protection at time systemic injury. This paper will review core concepts practical applications considered today's practice.