ADQI 7: the clinical management of the Cardio-Renal syndromes: work group statements from the 7th ADQI consensus conference

A. Davenport, S. D. Anker, A. Mebazaa, A. Palazzuoli, G. Vescovo, R. Bellomo, P. Ponikowski, I. Anand, N. Aspromonte, S. Bagshaw, T. Berl, I. Bobek, D. N. Cruz, L. Daliento, M. Haapio, H. Hillege, A. House, N. Katz, A. Maisel, S. MankadP. McCullough, F. Ronco, A. Shaw, G. Sheinfeld, S. Soni, N. Zamperetti, P. Zanco, C. Ronco*, Acute Dialysis Quality Initiative

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

33 Citations (Scopus)

Abstract

Many patients with heart failure have underlying renal dysfunction, and similarly, patients with kidney failure are prone to cardiac failure. This has led to the concept of cardio-renal syndromes, which can be an acute or chronic cardio-renal syndrome, when cardiac failure causes deterioration in renal function, or acute and/or chronic Reno-Cardiac syndrome, when renal dysfunction leads to cardiac failure. Patients who develop these syndromes have increased risk of hospital admission and mortality. Although there are clinical guidelines for managing both heart failure and chronic kidney disease, there are no agreed guidelines for managing patients with cardio-renal and/or Reno-Cardiac syndromes, as these patients have typically been excluded from clinical trials. We have therefore reviewed the currently available published literature to outline a consensus of current best clinical practice for these patients.

Original languageEnglish
Pages (from-to)2077-2089
Number of pages13
JournalNephrology Dialysis Transplantation
Volume25
Issue number7
DOIs
Publication statusPublished - Jul-2010

Keywords

  • cardio-renal
  • chronic kidney disease
  • heart failure
  • ischaemic heart disease
  • renal failure
  • DECOMPENSATED HEART-FAILURE
  • PLACEBO-CONTROLLED TRIAL
  • CHRONIC-KIDNEY-DISEASE
  • ANGIOTENSIN-RECEPTOR BLOCKER
  • BLOOD-PRESSURE CONTROL
  • CARDIAC RESYNCHRONIZATION THERAPY
  • DIALYSATE SODIUM CONCENTRATION
  • CHRONIC-HEMODIALYSIS PATIENTS
  • RANDOMIZED CONTROLLED-TRIALS
  • LEFT-VENTRICULAR DYSFUNCTION

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