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Revista Colombiana de Cardiología
Print version ISSN 0120-5633
Abstract
PEREIRA-RODRIGUEZ, Javier Eliécer et al. Cardiorenal syndrome. Rev. Colomb. Cardiol. [online]. 2017, vol.24, n.6, pp.602-613. ISSN 0120-5633. https://doi.org/10.1016/j.rccar.2017.05.019.
Heart failure initially causes myocardial damage that leads to ventricular remodelling. This, in turn, leads to activation of compensatory mechanisms where the kidney plays a fundamental role, as it regulates electrolyte homeostasis and thus the circulating volume. The sympathetic nervous system and the renin angiotensin-aldosterone system lead to the retention of sodium and water, which adversely affects cardiac function. This leads to cardiovascular, renal and myocardial compromise, or a cardiorenal syndrome, which is classified according to its presentation and pathophysiological components. The definition and conceptualization of cardiorenal syndrome includes two-way interactions, where acute and chronic changes of any organ can functionally or structurally affect the ventricular and/or renal function
Keywords : Renal failure; Heart failure; Ventricular remodelling.