Journal
CRITICAL CARE CLINICS
Volume 37, Issue 2, Pages 335-347Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ccc.2020.11.003
Keywords
Cardiorenal syndrome; Renocardiac syndrome; Heart failure; Acute kidney injury; Heart transplantation; Ventricular-assist device; Pediatric cardiorenal syndrome
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Cardiorenal syndrome is common in patients with initial severe forms of heart or kidney failure, with a tight bidirectional link between these two organs. Critically ill patients may develop cardiorenal syndrome in the context of multiple organ failure, and prolonged artificial organ support in end-stage failure can lead to a novel form of the syndrome. Pediatric cardiorenal syndrome is typical after cardiac surgery, but a new classification reveals its frequent occurrence in frail patients.
? Cardiorenal syndrome is common in patients suffering with initial severe forms of heart or kidney failure. ? A tight bidirectional link exists between these two organs and their reciprocal involvement is typical and progressive. ? Critically ill patients may have cardiorenal syndrome in the context of multiple organ failure. ? Prolonged (and artificial) organ support in end-stage heart and kidney failure has led to a novel form of cardiorenal syndrome where the organ is injured also by artificial support (chronic dialysis or ventricular-assist device). ? Pediatric cardiorenal syndrome is typical after cardiac surgery but the novel classification is revealing a frequent occurrence in this setting of frail patients.
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