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Adv Chronic Kidney Dis. 2017 Jul;24(4):261-266. doi: 10.1053/j.ackd.2017.05.010.

Getting to the Heart of the Matter: Review of Treatment of Cardiorenal Syndrome.

Author information

1
Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, MI; and Division of Cardiology, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address: kumanat1@hfhs.org.
2
Division of Nephrology and Hypertension, Henry Ford Hospital, Detroit, MI; and Division of Cardiology, The Ohio State University Wexner Medical Center, Columbus, OH.

Abstract

Acute decompensated heart failure is a common cause of hospitalization with worsening kidney function or acute kidney injury often complicating the admission, which can result in further dysfunction of both systems in the form of a cardiorenal syndrome. Therapy in this arena has been largely empiric as rigorous clinical trial data to inform therapeutic choices are lacking. Here we review and discuss the available clinical evidence for common approaches to the management of this condition. A multidisciplinary approach to the care of patients with cardiorenal syndrome that relies on the experience of nephrologists and cardiologists to individualize treatment is critical given the paucity of rigorous clinical trial data.

KEYWORDS:

Acute Decompensated Heart Failure; Acute Kidney Injury; Cardiorenal; Diuretics; Hospitalization; Ultrafiltration; Vasodilators

PMID:
28778367
DOI:
10.1053/j.ackd.2017.05.010
[Indexed for MEDLINE]

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