Right Heart Failure and Cardiorenal Syndrome

Overview

Journal Cardiol Clin

Publisher Elsevier

Specialty Cardiology & Vascular Diseases

Date 2020 Apr 15

PMID 32284096

Citations 22

Authors

Thida Tabucanon

Wai Hong Wilson Tang

Affiliations

Soon will be listed here.

Abstract

Cardiorenal syndrome is a complex interplay of dysregulated heart and kidney interaction that leads to multiorgan system dysfunction, which is not an uncommon occurrence in the setting of right heart failure. The traditional concept of impaired perfusion and forward flow recently has been modified to include the recognition of systemic venous congestion as a contributor, with direct and indirect mechanisms, including elevated renal venous pressure, reduced renal perfusion pressure, increased renal interstitial pressure, tubular dysfunction, splanchnic congestion, and neurohormonal and inflammatory activation. Treatment options beyond diuretics and vasoactive drugs remain limited and lack supportive evidence.

Citing Articles

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Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion.

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Khan A, Saeed H, Haque I, Iqbal A, Du D, Koratala A World J Crit Care Med. 2024; 13(2):93206.

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Echocardiographic Predictive Factors of Worsening Outcome in Type 1 Cardiorenal Syndrome.

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