Update sulla malattia renale diabetica (DKD): focus sulla DKD non albuminurica e il rischio cardiovascolare

Il Diabete Pub Date : 2024-01-16 DOI:10.30682/ildia2304a
Direzione Scientifica, S. Squatrito, Catania Direttore, Responsabile Stefano Melloni, Maurizio Sabrina Scilletta, D. Marco, Nicoletta Miano, Agnese Filippello, S. D. Mauro, Alessandra Scamporrino, Marco Musmeci, Giuseppe Coppolino, F. di, Giacomo Barbagallo, Giosiana Bosco, Roberto Scicali, S. Piro, Francesco Purrello, A. Pino
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引用次数: 3

Abstract

The classic description of diabetic kidney disease (DKD) involves progressive stages of glomerular hyperfiltration, microalbuminuria, and a decline in the estimated glomerular filtration rate (eGFR). However, large studies have revealed that eGFR decline may also occur independently from development of albuminuria. This concept led to the identification of a new phenotype: non-albuminuric DKD, whose pathogenesis is still unknown and data in literature are still controversial. This review is focused on cardiovascular risk profile and therapeutical implication of this new DKD phenotype.
糖尿病肾病 (DKD) 的最新进展:关注非白蛋白尿型 DKD 和心血管风险
糖尿病肾病(DKD)的经典描述包括肾小球高滤过、微量白蛋白尿和估计肾小球滤过率(eGFR)下降的渐进阶段。然而,大量研究表明,eGFR 的下降也可能与白蛋白尿的发展无关。这一概念导致了一种新的表型:非白蛋白尿型 DKD,其发病机制尚不清楚,文献中的数据仍存在争议。这篇综述的重点是这种新的 DKD 表型的心血管风险特征和治疗意义。
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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