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[Combined cardiorenal failure: a rapidly expanding clinical entity].

Authors :
Caramelo C
Gil P
Source :
Medicina clinica [Med Clin (Barc)] 2003 Nov 22; Vol. 121 (18), pp. 710-7.
Publication Year :
2003

Abstract

The cardiovascular diseases represent the chief cause of morbidity and mortality in Spain. The development of renal insufficiency has a definite prognostic value and modifies therapeutic options. Cardio-renal insufficiency (IC-R) is a differentiated entity, underestimated in our population, in which both cardiac and renal failure coexist. Patients with IC-R are genuine survivors of the application of diverse technologies and have a different hemodynamic and hydrosaline balance compared to that seen in patients with isolated cardiac or renal insufficiency. Early diagnosis and careful follow-up, both in hospital and at ambulatory level, along with a specific management, determine the prognosis of this entity. A key aspect in the control of these patients resides in the preservation of a delicate fluid balance, which is always individualized and personalized. This type of approach requires a particular type of training and mental attitude by healthcare professionals, with an integrated view of the multifactorial nature of IC-R. The design of a plan structured according to objectives and the full understanding of the individual equilibrium constitute the keystone in the management of IC-R. The present review, which is based on traditional concepts updated under a practical view, is aimed to call attention on a rapidly expanding clinical entitiy.

Details

Language :
Spanish; Castilian
ISSN :
0025-7753
Volume :
121
Issue :
18
Database :
MEDLINE
Journal :
Medicina clinica
Publication Type :
Academic Journal
Accession number :
14651822
Full Text :
https://doi.org/10.1016/s0025-7753(03)74071-8