Cardiorenal Syndrome in Acute Heart Failure Syndromes

Impaired cardiac function leads to activation of the neurohumoral axis, sodium and water retention, congestion and ultimately impaired kidney function. This sequence of events has been termed the Cardiorenal Syndrome. This is different from the increase in cardiovascular complications which occur wi...

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Main Authors: Mohammad Sarraf, Robert W. Schrier
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.4061/2011/293938
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author Mohammad Sarraf
Robert W. Schrier
author_facet Mohammad Sarraf
Robert W. Schrier
author_sort Mohammad Sarraf
collection DOAJ
description Impaired cardiac function leads to activation of the neurohumoral axis, sodium and water retention, congestion and ultimately impaired kidney function. This sequence of events has been termed the Cardiorenal Syndrome. This is different from the increase in cardiovascular complications which occur with primary kidney disease, that is, the so-called Renocardiac Syndrome. The present review discusses the pathogenesis of the Cardiorenal Syndrome followed by the benefits and potential deleterious effects of pharmacological agents that have been used in this setting. The agents discussed are diuretics, aquaretics, natriuretic peptides, vasodilators, inotropes and adenosine α1 receptor antagonists. The potential role of ultrafiltration is also briefly discussed.
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spelling doaj-art-08bfae748c6843d89aa6dafd406c853f2025-08-20T03:55:33ZengWileyInternational Journal of Nephrology2090-214X2090-21582011-01-01201110.4061/2011/293938293938Cardiorenal Syndrome in Acute Heart Failure SyndromesMohammad Sarraf0Robert W. Schrier1University of Minnesota, USAUniversity of Colorado, USAImpaired cardiac function leads to activation of the neurohumoral axis, sodium and water retention, congestion and ultimately impaired kidney function. This sequence of events has been termed the Cardiorenal Syndrome. This is different from the increase in cardiovascular complications which occur with primary kidney disease, that is, the so-called Renocardiac Syndrome. The present review discusses the pathogenesis of the Cardiorenal Syndrome followed by the benefits and potential deleterious effects of pharmacological agents that have been used in this setting. The agents discussed are diuretics, aquaretics, natriuretic peptides, vasodilators, inotropes and adenosine α1 receptor antagonists. The potential role of ultrafiltration is also briefly discussed.http://dx.doi.org/10.4061/2011/293938
spellingShingle Mohammad Sarraf
Robert W. Schrier
Cardiorenal Syndrome in Acute Heart Failure Syndromes
International Journal of Nephrology
title Cardiorenal Syndrome in Acute Heart Failure Syndromes
title_full Cardiorenal Syndrome in Acute Heart Failure Syndromes
title_fullStr Cardiorenal Syndrome in Acute Heart Failure Syndromes
title_full_unstemmed Cardiorenal Syndrome in Acute Heart Failure Syndromes
title_short Cardiorenal Syndrome in Acute Heart Failure Syndromes
title_sort cardiorenal syndrome in acute heart failure syndromes
url http://dx.doi.org/10.4061/2011/293938
work_keys_str_mv AT mohammadsarraf cardiorenalsyndromeinacuteheartfailuresyndromes
AT robertwschrier cardiorenalsyndromeinacuteheartfailuresyndromes