心血管-肾脏-代谢综合征的定义及其在预防、风险统计和治疗中的作用。肾脏病学的机遇

IF 2 4区 医学 Q2 UROLOGY & NEPHROLOGY Nefrologia Pub Date : 2024-11-01 DOI:10.1016/j.nefro.2024.05.001
Aleix Cases , Jose Jesus Broseta , Maria Marqués , Secundino Cigarrán , Juan Carlos Julián , Roberto Alcázar , Alberto Ortiz
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引用次数: 0

摘要

美国心脏协会(AHA)最近提出了心血管-肾脏-代谢综合征(CKM)的概念,这为采取多学科和终生方法进行风险分层、早期预防和治疗提供了机会,这种恶性循环是由心血管、肾脏和代谢风险因素相互作用产生的,并因心血管疾病(包括各种心血管疾病:心力衰竭、心房颤动、冠心病、中风和外周动脉疾病)的发展而加剧:心力衰竭、心房颤动、冠心病、中风和外周动脉疾病)、慢性肾病或 2 型糖尿病,脂肪过多或功能失调是其诱因。三份出版物为概念性十诫和行动计划提供了合理依据,并提出了自 30 岁起的心血管风险分层新方程,其中包括肾功能/肾损伤等指标,以促进心血管、肾脏和新陈代谢的有效预防。在西班牙,我们必须利用这一势头,将这些新概念与我们的现实情况相结合,加强和改善初级保健与 CKM 综合征相关专科之间的合作,包括组建多学科小组,采用以患者为中心的方法进行优化管理。
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La definición del síndrome cardiovascular-reno-metabólico (cardiovascular-kidney-metabolic syndrome) y su papel en la prevención, estatificación del riesgo y tratamiento. Una oportunidad para la Nefrología
The recent conceptualization of the cardiovascular-kidney-metabolic (CKM) syndrome by the American Heart Association (AHA) opens an opportunity for a multidisciplinary and lifelong approach in the risk stratification, early prevention, and treatment of the vicious circle generated by the interaction of cardiovascular, renal and metabolic risk factors and aggravated by the development of cardiovascular diseases (including their full spectrum: heart failure, atrial fibrillation, coronary heart disease, stroke, and peripheral arterial disease), chronic kidney disease or type 2 diabetes mellitus, with the excess or dysfunctional adiposity as the trigger. Three publications offer the rational basis of a conceptual decalogue and action plan and a new cardiovascular risk stratification equation since the age of 30 that includes measures of renal function/damage, among others, to promote effective cardiovascular, renal, and metabolic prevention. In Spain, we must leverage this momentum to adapt these new concepts to our reality with greater and improved collaboration between primary care and the specialties involved in CKM syndrome, including the formation of multidisciplinary units for the optimal management using a patient-centred approach.
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来源期刊
Nefrologia
Nefrologia 医学-泌尿学与肾脏学
CiteScore
3.40
自引率
7.70%
发文量
148
审稿时长
47 days
期刊介绍: Nefrología is the official publication of the Spanish Society of Nephrology. The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles in English and in Spanish languages.
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