Cardiorenal syndrome in the context of diabetes mellitus
Authors:
Marta Filková Karabová; Ján Murín
Authors‘ workplace:
I. interná klinika LF UK a Nemocnica Staré Mesto, UNB, Bratislava, prednostka doc. MUDr. Soňa Kiňová, PhD.
Published in:
Forum Diab 2013; 2(1): 31-35
Category:
Overview
Cardiorenal syndrome is defined as a disorder of the heart and kidney whereby acute or chronic dysfunction in one organ may induce acute or chronic dysfunction of the other. From the recently introduced five-degree classification of cardiorenal syndrome, the fifth subtype, so called secondary cardiorenal syndrome, is a state where an acute or chronic systemic insult or illness leads to simultaneous heart and renal dysfunction. Diabetes mellitus represents such chronic systemic disease that affects the pathophysiology of cardiorenal axis. Diabetes is a well established risk factor for cardiovascular diseases and a significant proportion of diabetic patients go on to develop clinically significant nephropathy. In the diabetic state, the impairment of the heart and kidney function is caused by hemodynamic abnormalities, humoral factors, oxidative stress and endothelial dysfunction as well as a number of positive feedback loops existing in-between already established cardiac and renal dysfunction. In the therapy of diabetic cardiorenal syndrome the cornerstone remains the control of the primary disease and then concomitant cardiovascular risk factors.
Key words:
cardiorenal syndrome – diabetes mellitus – diabetic nephropathy
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