2011年3月8日

[醫學] 有關Cardiorenal Syndrome


這一陣子有幾個有關腎臟熱門的主題,那就是Cardiorenal syndrome。這篇JACC 2008 由Dr Roncho寫得圖文並茂的文章給大家了解一下
STATE-OF-THE-ART PAPER

Cardiorenal Syndrome

Claudio Ronco, MD*,*, Mikko Haapio, MD{dagger},Andrew A. House, MSc, MD{ddagger},Nagesh Anavekar, MD§ andRinaldo Bellomo, MD
* Department of Nephrology, St. Bortolo Hospital, Vicenza, Italy
{dagger} Division of Nephrology, Helsinki University Central Hospital, Helsinki, Finland
{ddagger} Division of Nephrology, London Health Sciences Centre, London, Ontario, Canada
§ Department of Cardiology, Northern Hospital, Melbourne, Australia
Department of Intensive Care, Austin Hospital, Melbourne, Australia
Manuscript received June 12, 2008; revised manuscript received July 14, 2008, accepted July 28, 2008.
J Am Coll Cardiol, 2008; 52:1527-1539, doi:10.1016/j.jacc.2008.07.051
© 2008 by the American College of Cardiology Foundation
文章中,Dr Ronco把cardiorenal syndrome 分成五的Type
  1. Acute heart failure causing acute renal failure
  2. Chronic heart failure causing chronic kidney disease
  3. Acute kidney injury causing any type of acute cardiac dysfunction (including arrhythmia)
  4. Chronic kidney disease causing any chronic cardiac disease
  5. Any systemic condition that causes renal and cardiac dysfuction (e.g. sepsis)
從上述文章中節錄的圖給大家快速了解一下:
Type1 Acute heart failure causing acute renal failure

Type 2 Chronic heart failure causing chronic kidney disease

Type 3 Acute kidney injury causing any type of acute cardiac dysfunction (including arrhythmia)

Type 4Chronic kidney disease causing any chronic cardiac disease

Type 5Any systemic condition that causes renal and cardiac dysfuction (e.g. sepsis)


    簡單的來說,心臟與腎臟真的是一家人呀!中醫說的『心腎不交』是真的存在的…

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