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ADQI 7: the clinical management of the Cardio-Renal syndromes: work group statements from the 7th ADQI consensus conference

Identifieur interne : 001877 ( Istex/Corpus ); précédent : 001876; suivant : 001878

ADQI 7: the clinical management of the Cardio-Renal syndromes: work group statements from the 7th ADQI consensus conference

Auteurs : A. Davenport ; S. D. Anker ; A. Mebazaa ; A. Palazzuoli ; G. Vescovo ; R. Bellomo ; P. Ponikowski ; I. Anand ; N. Aspromonte ; S. Bagshaw ; T. Berl ; I. Bobek ; D. N. Cruz ; L. Daliento ; M. Haapio ; H. Hillege ; A. House ; N. Katz ; A. Maisel ; S. Mankad ; P. Mccullough ; F. Ronco ; A. Shaw ; G. Sheinfeld ; S. Soni ; N. Zamperetti ; P. Zanco ; C. Ronco

Source :

RBID : ISTEX:DB0653ABFA4DF9800B1AC7D47A376659BFA97718

Abstract

Many patients with heart failure have underlying renal dysfunction, and similarly, patients with kidney failure are prone to cardiac failure. This has led to the concept of cardio-renal syndromes, which can be an acute or chronic cardio-renal syndrome, when cardiac failure causes deterioration in renal function, or acute and/or chronic Reno-Cardiac syndrome, when renal dysfunction leads to cardiac failure. Patients who develop these syndromes have increased risk of hospital admission and mortality. Although there are clinical guidelines for managing both heart failure and chronic kidney disease, there are no agreed guidelines for managing patients with cardio-renal and/or Reno-Cardiac syndromes, as these patients have typically been excluded from clinical trials. We have therefore reviewed the currently available published literature to outline a consensus of current best clinical practice for these patients.

Url:
DOI: 10.1093/ndt/gfq252

Links to Exploration step

ISTEX:DB0653ABFA4DF9800B1AC7D47A376659BFA97718

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<name sortKey="Bobek, I" sort="Bobek, I" uniqKey="Bobek I" first="I." last="Bobek">I. Bobek</name>
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<name sortKey="Cruz, D N" sort="Cruz, D N" uniqKey="Cruz D" first="D. N." last="Cruz">D. N. Cruz</name>
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<name sortKey="Daliento, L" sort="Daliento, L" uniqKey="Daliento L" first="L." last="Daliento">L. Daliento</name>
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<mods:affiliation>Department of Cardiology, University of Padova, Italy</mods:affiliation>
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<name sortKey="Haapio, M" sort="Haapio, M" uniqKey="Haapio M" first="M." last="Haapio">M. Haapio</name>
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<mods:affiliation>Division of Nephrology, Helsinki University Central Hospital, Helsinki, Finland</mods:affiliation>
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<name sortKey="Hillege, H" sort="Hillege, H" uniqKey="Hillege H" first="H." last="Hillege">H. Hillege</name>
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<mods:affiliation>Trial Coordination Center, Department of Cardiology and Epidemiology, University Medical Center Groningen, Hanzeplein, The Netherlands</mods:affiliation>
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<name sortKey="House, A" sort="House, A" uniqKey="House A" first="A." last="House">A. House</name>
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<mods:affiliation>Division of Nephrology, London Health Sciences Centre, University Hospital, London, Ontario, Canada</mods:affiliation>
</affiliation>
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<author>
<name sortKey="Katz, N" sort="Katz, N" uniqKey="Katz N" first="N." last="Katz">N. Katz</name>
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<mods:affiliation>Department of Surgery, The George Washington University, Washington DC, USA</mods:affiliation>
</affiliation>
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<name sortKey="Maisel, A" sort="Maisel, A" uniqKey="Maisel A" first="A." last="Maisel">A. Maisel</name>
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<mods:affiliation>Department of Medicine and Cardiology, San Diego VA Medical Center and University of California, San Diego, CA, USA</mods:affiliation>
</affiliation>
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<name sortKey="Mankad, S" sort="Mankad, S" uniqKey="Mankad S" first="S." last="Mankad">S. Mankad</name>
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<mods:affiliation>Department of Cardiology, Mayo Clinic, Rochester, MN, USA</mods:affiliation>
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<name sortKey="Mccullough, P" sort="Mccullough, P" uniqKey="Mccullough P" first="P." last="Mccullough">P. Mccullough</name>
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<mods:affiliation>Department of Medicine, Divisions of Cardiology, Nutrition and Preventive Medicine, William Beaumont Hospital, Royal Oak, MI, USA</mods:affiliation>
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<name sortKey="Ronco, F" sort="Ronco, F" uniqKey="Ronco F" first="F." last="Ronco">F. Ronco</name>
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<mods:affiliation>Department of Cardiology, University of Padova, Italy</mods:affiliation>
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<name sortKey="Shaw, A" sort="Shaw, A" uniqKey="Shaw A" first="A" last="Shaw">A. Shaw</name>
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<mods:affiliation>Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA</mods:affiliation>
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<name sortKey="Sheinfeld, G" sort="Sheinfeld, G" uniqKey="Sheinfeld G" first="G." last="Sheinfeld">G. Sheinfeld</name>
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<mods:affiliation>R. Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA</mods:affiliation>
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<author>
<name sortKey="Soni, S" sort="Soni, S" uniqKey="Soni S" first="S." last="Soni">S. Soni</name>
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<mods:affiliation>Division of Nephrology, Mediciti Hospitals, Hyderabad, India</mods:affiliation>
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<author>
<name sortKey="Zamperetti, N" sort="Zamperetti, N" uniqKey="Zamperetti N" first="N." last="Zamperetti">N. Zamperetti</name>
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<mods:affiliation>Department of Intensive Care, San Bortolo Hospital, Vicenza, Italy</mods:affiliation>
</affiliation>
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<author>
<name sortKey="Zanco, P" sort="Zanco, P" uniqKey="Zanco P" first="P." last="Zanco">P. Zanco</name>
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<mods:affiliation>Department of Nuclear Medicine, San Bortolo Hospital, Vicenza, Italy</mods:affiliation>
</affiliation>
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<name sortKey="Ronco, C" sort="Ronco, C" uniqKey="Ronco C" first="C." last="Ronco">C. Ronco</name>
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<mods:affiliation>Department of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy</mods:affiliation>
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<series>
<title level="j">Nephrology Dialysis Transplantation</title>
<title level="j" type="abbrev">Nephrol Dial Transplant</title>
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<idno type="eISSN">1460-2385</idno>
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<publisher>Oxford University Press</publisher>
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<front>
<div type="abstract">Many patients with heart failure have underlying renal dysfunction, and similarly, patients with kidney failure are prone to cardiac failure. This has led to the concept of cardio-renal syndromes, which can be an acute or chronic cardio-renal syndrome, when cardiac failure causes deterioration in renal function, or acute and/or chronic Reno-Cardiac syndrome, when renal dysfunction leads to cardiac failure. Patients who develop these syndromes have increased risk of hospital admission and mortality. Although there are clinical guidelines for managing both heart failure and chronic kidney disease, there are no agreed guidelines for managing patients with cardio-renal and/or Reno-Cardiac syndromes, as these patients have typically been excluded from clinical trials. We have therefore reviewed the currently available published literature to outline a consensus of current best clinical practice for these patients.</div>
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<xref rid="aff23" ref-type="aff">23</xref>
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<contrib contrib-type="author">
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<xref rid="aff25" ref-type="aff">25</xref>
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<aff id="aff13">
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<addr-line>Division of Nephrology, London Health Sciences Centre</addr-line>
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<addr-line>Ontario</addr-line>
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<country>Canada</country>
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<country>USA</country>
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,
<addr-line>San Diego, CA</addr-line>
,
<country>USA</country>
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<addr-line>Department of Cardiology</addr-line>
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<institution>Mayo Clinic</institution>
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<addr-line>Rochester, MN</addr-line>
,
<country>USA</country>
</aff>
<aff id="aff20">
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<addr-line>Department of Medicine, Divisions of Cardiology, Nutrition and Preventive Medicine</addr-line>
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<institution>William Beaumont Hospital</institution>
,
<addr-line>Royal Oak, MI</addr-line>
,
<country>USA</country>
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<addr-line>Department of Anesthesiology</addr-line>
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<institution>Duke University Medical Center</institution>
,
<addr-line>Durham, NC</addr-line>
,
<country>USA</country>
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<addr-line>R. Adams Cowley Shock Trauma Center</addr-line>
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<institution>University of Maryland Medical Center</institution>
,
<addr-line>Baltimore, MD</addr-line>
,
<country>USA</country>
</aff>
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<label>23</label>
<addr-line>Division of Nephrology</addr-line>
,
<institution>Mediciti Hospitals</institution>
,
<addr-line>Hyderabad</addr-line>
,
<country>India</country>
</aff>
<aff id="aff24">
<label>24</label>
<addr-line>Department of Intensive Care</addr-line>
,
<institution>San Bortolo Hospital</institution>
,
<addr-line>Vicenza</addr-line>
,
<country>Italy</country>
</aff>
<aff id="aff25">
<label>25</label>
<addr-line>Department of Nuclear Medicine</addr-line>
,
<institution>San Bortolo Hospital</institution>
,
<addr-line>Vicenza</addr-line>
,
<country>Italy</country>
</aff>
</contrib-group>
<author-notes>
<corresp id="cor1">C. Ronco; E-mail:
<email>cronco@goldnet.it</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>20</day>
<month>5</month>
<year>2010</year>
</pub-date>
<volume>25</volume>
<issue>7</issue>
<fpage>2077</fpage>
<lpage>2089</lpage>
<history>
<date date-type="received">
<day>18</day>
<month>11</month>
<year>2009</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>4</month>
<year>2010</year>
</date>
</history>
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<copyright-statement>© The Author 2010. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org</copyright-statement>
<copyright-year>2010</copyright-year>
<copyright-holder>Oxford University Press</copyright-holder>
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<p>Many patients with heart failure have underlying renal dysfunction, and similarly, patients with kidney failure are prone to cardiac failure. This has led to the concept of cardio-renal syndromes, which can be an acute or chronic cardio-renal syndrome, when cardiac failure causes deterioration in renal function, or acute and/or chronic Reno-Cardiac syndrome, when renal dysfunction leads to cardiac failure. Patients who develop these syndromes have increased risk of hospital admission and mortality. Although there are clinical guidelines for managing both heart failure and chronic kidney disease, there are no agreed guidelines for managing patients with cardio-renal and/or Reno-Cardiac syndromes, as these patients have typically been excluded from clinical trials. We have therefore reviewed the currently available published literature to outline a consensus of current best clinical practice for these patients.</p>
</abstract>
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<title>Keywords</title>
<kwd>cardio-renal</kwd>
<kwd>chronic kidney disease</kwd>
<kwd>heart failure</kwd>
<kwd>ischaemic heart disease</kwd>
<kwd>renal failure</kwd>
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<abstract>Many patients with heart failure have underlying renal dysfunction, and similarly, patients with kidney failure are prone to cardiac failure. This has led to the concept of cardio-renal syndromes, which can be an acute or chronic cardio-renal syndrome, when cardiac failure causes deterioration in renal function, or acute and/or chronic Reno-Cardiac syndrome, when renal dysfunction leads to cardiac failure. Patients who develop these syndromes have increased risk of hospital admission and mortality. Although there are clinical guidelines for managing both heart failure and chronic kidney disease, there are no agreed guidelines for managing patients with cardio-renal and/or Reno-Cardiac syndromes, as these patients have typically been excluded from clinical trials. We have therefore reviewed the currently available published literature to outline a consensus of current best clinical practice for these patients.</abstract>
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<genre>Keywords</genre>
<topic>cardio-renal</topic>
<topic>chronic kidney disease</topic>
<topic>heart failure</topic>
<topic>ischaemic heart disease</topic>
<topic>renal failure</topic>
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