Cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum (part 2): prognosis, prevention and treatment

Cardiorenal syndrome in patients with heart failure is a regular link in the chain of cardiorenal continuum. Physicians of various specialties may encounter patients with cardiorenal syndrome: general practitioners, cardiologists, nephrologists, resuscitators, anesthetists, cardiac surgeons, etc. Th...

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Main Authors: E. V. Reznik, I. G. Nikitin
Format: Article
Language:Russian
Published: SINAPS LLC 2019-03-01
Series:Архивъ внутренней медицины
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Online Access:https://www.medarhive.ru/jour/article/view/900
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author E. V. Reznik
I. G. Nikitin
author_facet E. V. Reznik
I. G. Nikitin
author_sort E. V. Reznik
collection DOAJ
description Cardiorenal syndrome in patients with heart failure is a regular link in the chain of cardiorenal continuum. Physicians of various specialties may encounter patients with cardiorenal syndrome: general practitioners, cardiologists, nephrologists, resuscitators, anesthetists, cardiac surgeons, etc. The currently definition, classification, pathogenesis, diagnosis and epidemiology of cardiorenal syndrome in patients with heart failure were presented in first part of our review. In the second part, prognosis, approaches to the prevention and treatment of cardiorenal syndrome in patients with heart failure are discussed. They include the treatment of cardiovascular pathology and heart failure in accordance with current guidelines for the prevention of episodes of acute and decompensated chronic heart failure; diet; smoking cessation, alcohol, nephrotoxic substances; body weight, blood pressure and glycemia control; angiotensin converting enzyme inhibitors, angiotensin receptor antagonists or angiotensin receptors and neprilisin inhibitors (ARNI), statins; reducing of the abdominal pressure and others. It is necessary to develop and introduce new approaches to nephroprotection in patients with cardiorenal syndrome, which is possible with the joint work of a multidisciplinary team.
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spelling doaj-art-50224a74f55c4e6699ae10f7772b5b3a2025-08-20T03:37:54ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642019-03-01929310610.20514/2226-6704-2019-9-2-93-106723Cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum (part 2): prognosis, prevention and treatmentE. V. Reznik0I. G. Nikitin1Russian National Research Medical University n.a. N.I. PirogovRussian National Research Medical University n.a. N.I. PirogovCardiorenal syndrome in patients with heart failure is a regular link in the chain of cardiorenal continuum. Physicians of various specialties may encounter patients with cardiorenal syndrome: general practitioners, cardiologists, nephrologists, resuscitators, anesthetists, cardiac surgeons, etc. The currently definition, classification, pathogenesis, diagnosis and epidemiology of cardiorenal syndrome in patients with heart failure were presented in first part of our review. In the second part, prognosis, approaches to the prevention and treatment of cardiorenal syndrome in patients with heart failure are discussed. They include the treatment of cardiovascular pathology and heart failure in accordance with current guidelines for the prevention of episodes of acute and decompensated chronic heart failure; diet; smoking cessation, alcohol, nephrotoxic substances; body weight, blood pressure and glycemia control; angiotensin converting enzyme inhibitors, angiotensin receptor antagonists or angiotensin receptors and neprilisin inhibitors (ARNI), statins; reducing of the abdominal pressure and others. It is necessary to develop and introduce new approaches to nephroprotection in patients with cardiorenal syndrome, which is possible with the joint work of a multidisciplinary team.https://www.medarhive.ru/jour/article/view/900cardiorenal continuumcardiorenal syndromechronic heart failureacute heart failurechronic kidney diseaseacute renal damageacute kidney injuryglomerular filtration ratealbuminuriaprognosismortalitysurvivalnephroprotectionpreventiontreatmentangiotensin converting enzyme inhibitorangiotensin receptor antagonistangiotensin receptors and neprilisin inhibitor (arni)
spellingShingle E. V. Reznik
I. G. Nikitin
Cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum (part 2): prognosis, prevention and treatment
Архивъ внутренней медицины
cardiorenal continuum
cardiorenal syndrome
chronic heart failure
acute heart failure
chronic kidney disease
acute renal damage
acute kidney injury
glomerular filtration rate
albuminuria
prognosis
mortality
survival
nephroprotection
prevention
treatment
angiotensin converting enzyme inhibitor
angiotensin receptor antagonist
angiotensin receptors and neprilisin inhibitor (arni)
title Cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum (part 2): prognosis, prevention and treatment
title_full Cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum (part 2): prognosis, prevention and treatment
title_fullStr Cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum (part 2): prognosis, prevention and treatment
title_full_unstemmed Cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum (part 2): prognosis, prevention and treatment
title_short Cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum (part 2): prognosis, prevention and treatment
title_sort cardiorenal syndrome in patients with heart failure as a stage of the cardiorenal continuum part 2 prognosis prevention and treatment
topic cardiorenal continuum
cardiorenal syndrome
chronic heart failure
acute heart failure
chronic kidney disease
acute renal damage
acute kidney injury
glomerular filtration rate
albuminuria
prognosis
mortality
survival
nephroprotection
prevention
treatment
angiotensin converting enzyme inhibitor
angiotensin receptor antagonist
angiotensin receptors and neprilisin inhibitor (arni)
url https://www.medarhive.ru/jour/article/view/900
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AT ignikitin cardiorenalsyndromeinpatientswithheartfailureasastageofthecardiorenalcontinuumpart2prognosispreventionandtreatment