Uvodnik
CARDIORENAL SYNDROME: CLINICAL FEATURES, EARLY DIAGNOSIS AND TREATMENT AT FAMILY MEDICINE
BISERKA BERGMAN MARKOVIĆ
orcid.org/0000-0002-3657-4001
; Sveučilište u Zagrebu, Medicinski fakultet, Katedra za obiteljsku medicinu i Ordinacija opće medicine „Prof. dr. sc. Biserka Bergman Marković“, Zagreb, Hrvatska
Sažetak
The interdependent damage to the heart and kidney organ systems is defi ned as cardiorenal syndrome, a complex pathophysiological disorder of the heart and kidney in which acute or chronic dysfunction of one organ can lead to acute or chronic damage to the other. Identifi cation and early diagnosis of some subtypes of cardiorenal syndrome very often
begin at family physician offi ce, however, the use of simple and reliable diagnostic procedures such as MICE score using ECG and biomarkers has not been implemented yet. The clinical picture, diagnosis and treatment vary according to the 5 cardiorenal syndrome subtypes, as described herein. Rational diagnosis of heart failure at family medicine offi ce should include biomarkers (BNP and NT-pro BNP) before performing ultrasound of the heart, while for kidneys creatinine and estimated glomerular filtration rate are still in use, but not cysteine C and NGAL. Diagnostic procedure for suspected heart failure at family medicine offi ce should include kidney function estimate and vice versa. Access to treatment of cardiorenal syndrome differs depending on the specialty to which the patient is referred fi rst, i.e. consultant examination, cardiologist or nephrologist. A multidisciplinary approach to treatment of cardiorenal syndrome is still lacking.
Ključne riječi
cardiorenal syndrome; symptoms; treatment; pathophysiology; acute heart failure; chronic renal failure; chronic heart failure; family medicine
Hrčak ID:
179203
URI
Datum izdavanja:
6.4.2017.
Posjeta: 2.598 *