TY - JOUR
T1 - Cardio-renal syndromes
T2 - Report from the consensus conference of the acute dialysis quality initiative
AU - Ronco, Claudio
AU - McCullough, Peter
AU - Anker, Stefan D.
AU - Anand, Inder
AU - Aspromonte, Nadia
AU - Bagshaw, Sean M.
AU - Bellomo, Rinaldo
AU - Berl, Tomas
AU - Bobek, Ilona
AU - Cruz, Dinna N.
AU - Daliento, Luciano
AU - Davenport, Andrew
AU - Haapio, Mikko
AU - Hillege, Hans
AU - House, Andrew A.
AU - Katz, Nevin
AU - Maisel, Alan
AU - Mankad, Sunil
AU - Zanco, Pierluigi
AU - Mebazaa, Alexandre
AU - Palazzuoli, Alberto
AU - Ronco, Federico
AU - Shaw, Andrew
AU - Sheinfeld, Geoff
AU - Soni, Sachin
AU - Vescovo, Giorgio
AU - Zamperetti, Nereo
AU - Ponikowski, Piotr
PY - 2010/3
Y1 - 2010/3
N2 - A consensus conference on cardio-renal syndromes (CRS) was held in Venice Italy, in September 2008 under the auspices of the Acute Dialysis Quality Initiative (ADQI). The following topics were matter of discussion after a systematic literature review and the appraisal of the best available evidence: definition/classification system; epidemiology; diagnostic criteria and biomarkers; prevention/protection strategies; management and therapy. The umbrella term CRS was used to identify a disorder of the heart and kidneys whereby acute or chronic dysfunction in one organ may induce acute or chronic dysfunction in the other organ. Different syndromes were identified and classified into five subtypes. Acute CRS (type 1): acute worsening of heart function (AHF-ACS) leading to kidney injury and/or dysfunction. Chronic cardio-renal syndrome (type 2): chronic abnormalities in heart function (CHF-CHD) leading to kidney injury and/or dysfunction. Acute reno-cardiac syndrome (type 3): acute worsening of kidney function (AKI) leading to heart injury and/or dysfunction. Chronic reno-cardiac syndrome (type 4): chronic kidney disease leading to heart injury, disease, and/or dysfunction. Secondary CRS (type 5): systemic conditions leading to simultaneous injury and/or dysfunction of heart and kidney. Consensus statements concerning epidemiology, diagnosis, prevention, and management strategies are discussed in the paper for each of the syndromes.
AB - A consensus conference on cardio-renal syndromes (CRS) was held in Venice Italy, in September 2008 under the auspices of the Acute Dialysis Quality Initiative (ADQI). The following topics were matter of discussion after a systematic literature review and the appraisal of the best available evidence: definition/classification system; epidemiology; diagnostic criteria and biomarkers; prevention/protection strategies; management and therapy. The umbrella term CRS was used to identify a disorder of the heart and kidneys whereby acute or chronic dysfunction in one organ may induce acute or chronic dysfunction in the other organ. Different syndromes were identified and classified into five subtypes. Acute CRS (type 1): acute worsening of heart function (AHF-ACS) leading to kidney injury and/or dysfunction. Chronic cardio-renal syndrome (type 2): chronic abnormalities in heart function (CHF-CHD) leading to kidney injury and/or dysfunction. Acute reno-cardiac syndrome (type 3): acute worsening of kidney function (AKI) leading to heart injury and/or dysfunction. Chronic reno-cardiac syndrome (type 4): chronic kidney disease leading to heart injury, disease, and/or dysfunction. Secondary CRS (type 5): systemic conditions leading to simultaneous injury and/or dysfunction of heart and kidney. Consensus statements concerning epidemiology, diagnosis, prevention, and management strategies are discussed in the paper for each of the syndromes.
KW - Acute heart failure
KW - Acute kidney injury
KW - Cardio-renal syndromes
KW - Chronic heart disease
KW - Chronic heart failure
KW - Chronic kidney disease
KW - Worsening renal function
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U2 - 10.1093/eurheartj/ehp507
DO - 10.1093/eurheartj/ehp507
M3 - Article
C2 - 20037146
AN - SCOPUS:77954159820
VL - 31
SP - 703
EP - 711
JO - European Heart Journal
JF - European Heart Journal
SN - 0195-668X
IS - 6
ER -