Bedside Ultrasound in the Management of Cardiorenal Syndromes: An Updated Review.

IF 2.4 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiorenal Medicine Pub Date : 2023-01-01 Epub Date: 2023-11-18 DOI:10.1159/000534976
Eduardo R Argaiz, Gregorio Romero-Gonzalez, Philippe Rola, Rory Spiegel, Korbin H Haycock, Abhilash Koratala
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引用次数: 0

Abstract

Background: Cardiorenal syndromes constitute a spectrum of disorders involving heart and kidney dysfunction modulated by a complex interplay of neurohormonal, inflammatory, and hemodynamic derangements. The management of such patients often poses a diagnostic and therapeutic challenge to physicians owing to gaps in understanding of pathophysiology, paucity of objective bedside diagnostic tools, and individual biases.

Summary: In this narrative review, we discuss the role of clinician who performed bedside ultrasound in the management of patients with cardiorenal syndromes. Novel sonographic applications such as venous excess ultrasound score (VExUS) are reviewed in addition to the lung and focused cardiac ultrasound. Further, underrecognized causes of heart failure such as high-flow arteriovenous fistula are discussed.

Key message: Bedside ultrasound allows a comprehensive hemodynamic characterization of cardiorenal syndromes.

床边超声治疗心肾综合征:最新综述。
背景:心肾综合征是一系列涉及心脏和肾脏功能障碍的疾病,由神经激素、炎症和血流动力学紊乱的复杂相互作用所调节。由于对病理生理学的理解存在差距,缺乏客观的床边诊断工具和个人偏见,这类患者的管理往往给医生带来诊断和治疗方面的挑战。摘要:在这篇叙述性综述中,我们讨论了临床医生床边超声在心肾综合征患者治疗中的作用。新的超声应用,如静脉超音波(VExUS)除了肺和聚焦心脏超声。此外,未被充分认识的心力衰竭的原因,如高流量动静脉瘘的讨论。关键信息:床边超声可以对心肾综合征进行全面的血流动力学表征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cardiorenal Medicine
Cardiorenal Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-UROLOGY & NEPHROLOGY
CiteScore
5.40
自引率
2.60%
发文量
25
审稿时长
>12 weeks
期刊介绍: The journal ''Cardiorenal Medicine'' explores the mechanisms by which obesity and other metabolic abnormalities promote the pathogenesis and progression of heart and kidney disease (cardiorenal metabolic syndrome). It provides an interdisciplinary platform for the advancement of research and clinical practice, focussing on translational issues.
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