Cardiorenal Syndrome

Question 1

Define cardiorenal syndrome

Answer 1

A complication of acute decompensated heart failure
Essentially in decompensated HF there is an increase in intraabdominal pressure leading to a decrease in venous return from the kidneys to the heart, leading to decreased perfusion

Question 2

What are the five classifications of cardiorenal syndrome?

Answer 2

Type I: AKI d/t acute cardiac disease
Type II: CKD d/t chronic HD
Type III: Acute cardiac disease d/t AKI
Type IV: Chronic HD d/t CKD
Type V: Cardiac and renal dysfunction d/t another disorder

Question 3

What is the mainstay treatment for cardiorenal syndrome?

Answer 3

Address primary underlying dysfunction
Goal is Euvolemia

Question 4

What is the management of late take cardiorenal syndrome

Answer 4

Ionotropic or mechanical circulation
Cardiac transplantation