Burden and challenges of heart failure in patients with chronic kidney disease. A call to action

Patients with the dual burden of chronic kidney disease (CKD) and chronic congestive heart failure (HF) experience unacceptably high rates of symptom load, hospitalization, and mortality. Currently, concerted efforts to identify, prevent and treat HF in CKD patients are lacking at the institutional...

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Autores: Romero-González, G. (Gregorio)|||/items/0592061e-3039-45c9-b919-9a4ef091a5a8, Ravassa-Albéniz, S. (Susana)|||/items/df0c1eb3-9f45-4d77-a7a5-aca2bcf425e1, González, O. (Omar)|||/items/ece79295-bd29-47f0-9b33-7ba7b97cf525, De-Lorenzo, I. (Ignacio)|||/items/8c9084b4-0e51-4cf9-950c-5117bcae9dae, Rojas, M.A. (Miguel Angel)|||/items/5c8cc13d-404a-4d0b-8059-bf821f311fde, García-Trigo, I. (Isabel)|||/items/f1ba3ac7-5438-4de2-a52d-7530c2c109c3, Garcia-Fernandez, N. (Nuria)|||/items/775bfac6-047c-423c-b940-e5e2dba00f55, Lavilla-Royo, F.J. (Francisco Javier)|||/items/7af578d1-f519-4d7c-bfc9-a116196e0345, Martín, P.L. (Paloma L.)|||/items/a75111b7-8de0-41eb-9f69-a613a0f89274, Lopez-Salazar, M.B. (María Begoña)|||/items/153e0e37-14b0-403e-afab-8af00c4edde0, Gonzalez, A. (Arantxa)|||/items/9c64c0f4-66b4-4b51-8593-0e50c091a515, Beaumont-Ezcurra, F.J. (Francisco Javier)|||/items/6824d098-1970-4668-9169-8f1f3352e015, San-José-Enériz, G. (Gorka)|||/items/362ac8c3-5d50-4383-9fc1-7abbed048387, Moreno-Zulategui, M.U. (María de Ujue)|||/items/c970940e-b812-4c54-b9ee-26a5e0b78ec7, Ania-González, N. (Noelia)|||/items/7744d636-108f-4579-8223-c53117d1cd10, Osacar, E. (Elena)|||/items/df236cb5-35a7-4035-8293-37fe95345399, Amézqueta, P. (Pilar)|||/items/3c82ec99-8caf-4950-8dd9-411a8974343e, Diez, J. (Javier)|||/items/adeda0be-cebc-4240-899c-ab26f05dea9c
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/66753
Acceso en línea:https://hdl.handle.net/10171/66753
Access Level:acceso abierto
Palabra clave:Cardiorenal medicine
Chronic kidney disease
Heart failure
Enfermedad renal crónica
Insuficiencia cardíaca
Medicina cardiorrenal
Descripción
Sumario:Patients with the dual burden of chronic kidney disease (CKD) and chronic congestive heart failure (HF) experience unacceptably high rates of symptom load, hospitalization, and mortality. Currently, concerted efforts to identify, prevent and treat HF in CKD patients are lacking at the institutional level, with emphasis still being placed on individual specialty views on this topic. The authors of this review paper endorse the need for a dedicated cardiorenal interdisciplinary team that includes nephrologists and renal nurses and jointly manages appropriate clinical interventions across the inpatient and outpatient settings. There is a critical need for guidelines and best clinical practice models from major cardiology and nephrology professional societies, as well as for research funding in both specialties to focus on the needs of future therapies for HF in CKD patients. The implementation of crossspecialty educational programs across all levels in cardiology and nephrology will help train future specialists and nurses who have the ability to diagnose, treat, and prevent HF in CKD patients in a precise, clinically effective, and cost-favorable manner.

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