{"title":"[CARDIORENAL SYNDROME: CLINICAL FEATURES, EARLY DIAGNOSIS AND\nTREATMENT AT FAMILY MEDICINE].","authors":"B Bergman Marković","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The interdependent damage to the heart and kidney organ systems is defined as cardiorenal syndrome, a complex\npathophysiological disorder of the heart and kidney in which acute or chronic dysfunction of one organ can lead to acute\nor chronic damage to the other. Identification and early diagnosis of some subtypes of cardiorenal syndrome very often\nbegin at family physician office, however, the use of simple and reliable diagnostic procedures such as MICE score using\nECG and biomarkers has not been implemented yet. The clinical picture, diagnosis and treatment vary according to the 5\ncardiorenal syndrome subtypes, as described herein. Rational diagnosis of heart failure at family medicine office should\ninclude biomarkers (BNP and NT-pro BNP) before performing ultrasound of the heart, while for kidneys creatinine and\nestimated glomerular filtration rate are still in use, but not cysteine C and NGAL. Diagnostic procedure for suspected heart\nfailure at family medicine office should include kidney function estimate and vice versa. Access to treatment of cardiorenal\nsyndrome differs depending on the specialty to which the patient is referred first, i.e. consultant examination, cardiologist\nor nephrologist. A multidisciplinary approach to treatment of cardiorenal syndrome is still lacking.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
The interdependent damage to the heart and kidney organ systems is defined 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. Identification and early diagnosis of some subtypes of cardiorenal syndrome very often
begin at family physician office, 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 office 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 office 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 first, i.e. consultant examination, cardiologist
or nephrologist. A multidisciplinary approach to treatment of cardiorenal syndrome is still lacking.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.