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Cardiorenal Syndrome: Challenges in Everyday Clinical Practice and Key Points towards a Better Management
Theodora Georgopoulou1, Ioannis Petrakis2, Kleio Dermitzaki2
1Department of Cardiology, Venizeleio General Hospital, 71409 Heraklion, Greece.
Insights
Cardiorenal syndrome (CRS) involves combined heart and kidney dysfunction. Managing CRS requires early diagnosis, patient-centered care, and clear therapeutic strategies to address clinical challenges.
Area of Science:
- Cardiology
- Nephrology
- Internal Medicine
Background:
- Cardiorenal syndrome (CRS) is a complex condition involving combined heart and kidney dysfunction.
- Despite advances, CRS pathophysiology, diagnosis, and treatment present ongoing clinical challenges.
Purpose of the Study:
- To highlight the complexities and challenges in managing patients with cardiorenal syndrome.
- To emphasize the need for patient-centered approaches and improved therapeutic strategies in CRS.
Main Methods:
- This abstract discusses current clinical challenges in cardiorenal syndrome management.
- It reviews the need for early diagnosis, intervention, and distinguishing true kidney injury.
Main Results:
- Clinical practice faces difficulties in patient-centered management of CRS.
- Distinguishing true kidney injury from renal function changes during decongestion is a key challenge.
Conclusions:
- Effective cardiorenal syndrome management necessitates early diagnosis and intervention.
- Development of clear therapeutic algorithms is crucial for guiding clinical practice in CRS.
Abstract:
Under the term cardiorenal syndrome (CRS) falls an increasing number of patients who present with combined heart and kidney dysfunction. Despite the increasing knowledge concerning CRS pathophysiology, diagnosis, and treatment, many of the aforementioned aspects remain obscure in everyday clinical practice. Some of the challenges that clinicians face when they treat CRS nowadays is the need for a patient-centered management with early diagnosis, early intervention, the distinction of true kidney injury from permissive renal function deterioration during decongestion therapy, and the development of therapeutic algorithms to guide therapy.
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