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Cardiorenal syndrome: evolving concepts and pediatric knowledge gaps
Alexander J Kula1, Deirdre Bartlett2
1Division of Pediatric Nephrology, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 Chicago Ave, Chicago, Il, 60611, USA. alexkula@luriechildrens.org.
Insights
Cardiorenal syndrome (CRS) involves heart and kidney dysfunction. Pediatric CRS research is crucial for improving outcomes in children and adolescents, requiring cross-system collaboration.
Area of Science:
- Pediatric Cardiology
- Nephrology
- Cardiorenal Medicine
Background:
- Cardiorenal syndrome (CRS) describes the interconnected dysfunction of the heart and kidneys.
- The cardiorenal relationship is bidirectional, impacting both cardiac and renal health.
- Existing research predominantly focuses on adult populations, leaving a gap in pediatric understanding.
Purpose of the Study:
- To review key features of cardiorenal syndrome.
- To highlight the need for pediatric-specific research in CRS.
- To foster interdisciplinary collaboration for improved cardiorenal outcomes in young patients.
Main Methods:
- Literature review of cardiorenal syndrome.
- Analysis of existing research trends.
- Identification of pediatric research opportunities.
Main Results:
- CRS pathology is bidirectional, affecting both heart and kidney function.
- High prevalence of kidney disease in cardiac patients and cardiovascular complications in kidney disease patients.
- Limited research specifically addresses pediatric cardiorenal syndrome.
Conclusions:
- Understanding CRS is vital for both cardiac and renal health.
- Pediatric CRS requires dedicated research efforts.
- Interdisciplinary collaboration is essential to advance pediatric cardiorenal outcomes.
Abstract:
Cardiorenal syndrome (CRS) refers to concomitant dysfunction of both the heart and kidneys. The pathology in CRS is bidirectional. Many individuals with kidney disease will develop cardiovascular complications. Conversely, rates of acute kidney injury and chronic kidney disease are high in cardiac patients. While our understanding of CRS has greatly increased over the past 15 years, most research has occurred in adult populations. Improving cardiorenal outcomes in children and adolescents requires increased collaboration and research that spans organ systems. The purpose of this review is to discuss key features of CRS and help bring to light future opportunities for pediatric-specific research.
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