心肾综合症
医学
病理生理学
血流动力学
重症监护医学
急性失代偿性心力衰竭
封锁
心脏病学
内科学
肾
心力衰竭
受体
作者
Wendy McCallum,Jeffrey M. Testani
标识
DOI:10.1016/j.mcna.2023.03.011
摘要
Cardiorenal syndrome is a term that refers to a collection of disorders involving both the heart and kidneys, encompassing multi-directional pathways between the 2 organs mediated through low arterial perfusion , venous congestion , and neurohormonal activation. The pathophysiology is complex and includes hemodynamic and neurohormonal changes, but inconsistent findings from recent studies suggest this is very heterogenous disorder. Management for ADHF remains focused on decongestion and neurohormonal blockade to overcome the intense sodium and fluid avidity of the CRS.
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