Cardiac Devices and Kidney Disease

IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY
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引用次数: 0

Abstract

A growing variety of cardiac devices are available to monitor or support cardiovascular function. The entwined nature of cardiovascular disease and kidney disease makes the relationship of these devices with kidney disease a multifaceted question relating to the use of these devices in individuals with kidney disease and to the effects of the devices and device placement on kidney health. Cardiac devices can be categorized broadly into cardiac implantable electronic devices, structural devices, and circulatory assist devices. Cardiac implantable electronic devices include devices for monitoring and managing cardiac electrical activity and devices for monitoring hemodynamics. Structural devices modify cardiac structure and include valve prostheses, valve repair clips, devices for treating atrial septal abnormalities, left atrial appendage closure devices, and interatrial shunt devices. Circulatory assist devices support the failing heart or support cardiac function during high-risk cardiac procedures. Evidence for the use of these devices in individuals with kidney disease, effects of the devices on kidney health and function, specific considerations with devices in kidney disease, and important knowledge gaps are surveyed in this article. With the growing prevalence of combined cardiorenal disease and the increasing variety of cardiac devices, kidney disease considerations are an important aspect of device therapy.

心脏设备与肾脏疾病。
用于监测或支持心血管功能的心脏设备种类越来越多。心血管疾病和肾脏疾病相互交织,使得这些设备与肾脏疾病的关系成为一个多方面的问题,包括肾脏疾病患者使用这些设备的情况,以及设备和设备安置对肾脏健康的影响。心脏设备可大致分为心脏植入式电子设备、结构性设备和循环辅助设备。心脏植入式电子设备包括监测和管理心电活动的设备以及监测血液动力学的设备。结构性设备可改变心脏结构,包括瓣膜假体、瓣膜修复夹、治疗房间隔异常的设备、左心房阑尾关闭设备和心房间分流设备。循环辅助装置可支持衰竭的心脏或在高风险的心脏手术过程中支持心脏功能。本文概述了肾病患者使用这些装置的证据、装置对肾脏健康和功能的影响、肾病患者使用装置的具体注意事项以及重要的知识缺口。随着合并心肾疾病的发病率越来越高,心脏设备的种类也越来越多,肾脏疾病的注意事项是设备治疗的一个重要方面。
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
Seminars in nephrology
Seminars in nephrology 医学-泌尿学与肾脏学
CiteScore
5.60
自引率
0.00%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Seminars in Nephrology is a timely source for the publication of new concepts and research findings relevant to the clinical practice of nephrology. Each issue is an organized compendium of practical information that serves as a lasting reference for nephrologists, internists and physicians in training.
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