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Review
. 2023 Jul;107(4):763-780.
doi: 10.1016/j.mcna.2023.03.011. Epub 2023 Apr 15.

Updates in Cardiorenal Syndrome

Wendy McCallum  1 , Jeffrey M Testani  2
Affiliations
Review

Updates in Cardiorenal Syndrome

Wendy McCallum et al. Med Clin North Am. 2023 Jul.

Abstract

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.

Keywords: Acute decompensated heart failure; Cardiorenal syndrome; Neurohormonal activation; Venous congestion.

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