Cardio-renal syndromes: report from the consensus conference of the acute dialysis quality initiative.

Cardio-renal syndromes: report from the consensus conference of the acute dialysis quality initiative.
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DOI:
10.1093/eurheartj/ehp507
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发表时间:
2010-03
影响因子:
39.3
通讯作者:
Acute Dialysis Quality Initiative (ADQI) consensus group
Acute Dialysis Quality Initiative (ADQI) consensus group
中科院分区:
医学1区
文献类型:
--
作者:
Ronco C;McCullough P;Anker SD;Anand I;Aspromonte N;Bagshaw SM;Bellomo R;Berl T;Bobek I;Cruz DN;Daliento L;Davenport A;Haapio M;Hillege H;House AA;Katz N;Maisel A;Mankad S;Zanco P;Mebazaa A;Palazzuoli A;Ronco F;Shaw A;Sheinfeld G;Soni S;Vescovo G;Zamperetti N;Ponikowski P;Acute Dialysis Quality Initiative (ADQI) consensus group

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2008年9月,在急性透析质量倡议(ADQI)的主持下,在意大利威尼斯举行了关于心肾综合征(CRS)的共识会议。在系统性文献综述和最佳可用证据评估后,讨论了以下主题:定义/分类系统;流行病学;诊断标准和生物标志物;预防/保护策略;管理和治疗。术语CRS用于识别心脏和肾脏疾病,其中一个器官的急性或慢性功能障碍可能会诱发另一个器官的急性或慢性功能障碍。不同的综合征被确定并分为五个亚型。急性CRS(1型):心脏功能急性恶化(AHF-ACS),导致肾损伤和/或功能障碍。慢性心肾综合征(2型):导致肾损伤和/或功能障碍的慢性心功能异常(CHF-CHD)。急性肾心综合征(3型):肾功能急性恶化(阿基)导致心脏损伤和/或功能障碍。慢性肾心综合征(4型):导致心脏损伤、疾病和/或功能障碍的慢性肾脏疾病。继发性CRS(5型):导致心脏和肾脏同时损伤和/或功能障碍的全身性疾病。关于流行病学,诊断,预防和管理策略的共识声明中讨论的每一个综合征的文件。
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.
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