心肾综合征的生物标记物和治疗干预:文献综述。

Franklin Isaac Nieto Nuñez, Mateo Daniel Fabara Vera, Luis Fabricio Correa Auqui, Marco Vinicio Flores Blacio, Cynthia Escobar Arevalo, Santiago Israel Cárdenas Herrera, Jose Luis Villalta Posligua
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引用次数: 0

摘要

心肾综合征(CRS)是一种复杂的内科疾病,急性或慢性心功能衰竭和肾功能衰竭相互作用,导致两个器官的状态恶化。这篇综述涵盖了CRS管理中的生物标志物和治疗策略,突出了当前的进展和未来的前景。采用Scopus、Google Scholar和PubMed检索技术对2019-2024年的相关资料进行了研究。肌钙蛋白和NT-proBNP是评估CRS严重程度、疾病进展和治疗方案的重要心脏生物标志物。血清肌酐、胱抑素C和NGAL也能显示肾功能和预后。在 CRS 中,白蛋白尿是衡量肾功能和慢性肾病严重程度的指标,与不良预后有关。利尿剂和超滤可减少 CRS 中的液体过量,而 RAAS 抑制剂可提高心衰患者的存活率并逆转心脏重塑。SGLT2 抑制剂可保护肾脏和心脏。对于某些心脏疾病,ICD 和 CRT 等非药物方法可能会有所帮助。本综述最后介绍了 CRS 生物标志物和治疗方面的进展。心脏和肾脏生物标志物可预测 CRS,SGLT2 抑制剂可改善 CRS 治疗。需要开展研究来改进这些疗法,并调查其他治疗方法以改善患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Biomarkers and Therapeutic Interventions for Cardiorenal Syndrome: A Literature Review.
Acute or chronic cardiac and renal failure interact to worsen both organs' states in cardiorenal syndrome (CRS), a complicated medical disorder. This review covers biomarkers and therapeutic strategies in CRS management, highlighting current advancements and future prospects. A Scopus, Google Scholar, and PubMed search technique was used to examine relevant material from 2019-2024. Troponin and NT-proBNP are important cardiac biomarkers for CRS severity assessment, disease progression, and therapy options. Serum creatinine, cystatin C, and NGAL also reveal renal function and prognosis. In CRS, albuminuria, a measure of renal function and chronic kidney disease severity, is related to poor outcomes.Diuretics and ultrafiltration reduce fluid excess in CRS, while RAAS inhibitors increase survival and reverse cardiac remodeling in heart failure patients. SGLT2 inhibitors may protect the kidneys and heart. In certain cardiac diseases, non-pharmacological methods like ICDs and CRT may help. This review concludes with advancements in CRS biomarkers and treatment. Cardiac and renal biomarkers can predict CRS and SGLT2 inhibitors may improve CRS therapy. Research is required to improve these therapies and investigate other therapeutic ways to improve patient outcomes.
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