Cardiorenal syndrome (CRS) is a vicious circle caused by the interaction between heart failure and kidney disease having a poor prognosis. We have reviewed a case of a patient with rheumatic heart disease valve replacement and repair surgery, diagnosed on admission as having CRS, combined with cardiogenic liver cirrhosis and severe scrotal edema. He was discharged after repeated blood puri-fication treatments. The patient died within the three months following after discharge. It is suggested that for patients with CRS and cardiogenic liver cirrhosis for whom surgery is no longer an option, the short-term effect of blood purification treatment is acceptable, however the long-term prognosis still needs more case observation.
HomeArticlesVol 31,2021 No.6Detail
A case report of cardiorenal syndrome accompany with cardiogenic cirrhosis and scrotal edema
Published on Nov. 08, 2021Total Views: 6166 timesTotal Downloads: 3205 timesDownloadMobile
- Abstract
- Full-text
- References
Abstract
Full-text
References
1. Uduman J. Epidemiology of cardiorenal syndrome[J]. Adv Chronic Kidney Dis, 2018, 25(5): 391-399. DOI: 10.1053/j.ackd.2018.08.009.
2. Ronco C, McCullough P, Anker SD, et al. Cardio-renal syndromes: report from the consensus confer-ence of the acute dialysis quality initiative[J]. Eur Heart J, 2010, 31(6): 703-711. DOI: 10.1093/eurheartj/ehp507.
3. Zhang Y, Jiang Y, Yang W, et al. Chronic secondary cardiorenal syndrome: the sixth innovative sub-type[J]. Front Cardiovasc Med, 2021, 8: 639959. DOI: 10.3389/fcvm.2021.639959.
4. Haase M, Müller C, Damman K, et al. Pathogenesis of cardiorenal syndrome type 1 in acute decom-pensated heart failure: workgroup statements from the eleventh consensus conference of the acute dialysis quality initiative (ADQI) [J]. Contrib Nephrol, 2013, 182: 99-116. DOI: 10.1159/000349969.
5. Vandenberghe W, Gevaert S, Kellum JA, et al. Acute kidney injury in cardiorenal syndrome type 1 pa-tients: a systematic review and meta-analysis[J]. Cardiorenal Med, 2016, 6(2): 116-128. DOI: 10.1159/000442300.
6. Zannad F, Rossignol P. Cardiorenal syndrome revisited[J]. Circulation, 2018, 138(9): 929-944. DOI: 10.1161/CIR CULATIONAHA.117.028814.
7. Wang J, Zhang W, Wu L, et al. New insights into the pathophysiological mechanisms underlying cardi-orenal syndrome[J]. Aging (Albany NY), 2020, 12(12): 12422-12431. DOI: 10.18632/aging.103354.
8. Clària J, Stauber RE, Coenraad MJ, et al. Systemic inflammation in decompensated cirrhosis: charac-terization and role in acute-on-chronic liver failure[J]. Hepatology, 2016, 64(4): 1249-1264. DOI: 10.1002/hep.28740.
9. Kazory A, Ronco C. Hepatorenal syndrome or hepatocardiorenal syndrome: revisiting basic concepts in view of emerging data[J]. Cardiorenal Med, 2019, 9(1): 1-7. DOI: 10.1159/000492791.
10. Xanthopoulos A, Starling RC, Kitai T, et al. Heart failure and liver disease: cardiohepatic interactions[J]. JACC Heart Fail, 2019, 7(2): 87-97. DOI: 10.1016/j.jchf.2018.10.007.
11. Møller S, Bernardi M. Interactions of the heart and the liver[J]. Eur Heart J, 2013, 34(36): 2804-2811. DOI: 10.1093/eurheartj/eht246.
12. Kazory A, Costanzo MR. Extracorporeal isolated ultrafiltration for management of congestion in heart failure and cardiorenal syndrome[J]. Adv Chronic Kidney Dis, 2018, 25(5): 434-442. DOI: 10.1053/j.ackd.2018.08.007.
13. Oda S, Sadahiro T, Hirayama Y, et al. Non-renal indications for continuous renal replacement therapy: current status in Japan[J]. Contrib Nephrol, 2010, 166: 47-53. DOI: 10.1159/000314851.
14. Schwenger V, Remppis AB. Renal replacement therapy for refractory heart failure[J]. Der Internist, 2012, 53(7): 823-832. DOI: 10.1007/s00108-011-3009-y.
15. Jentzer JC, Bihorac A, Brusca SB, et al. Contemporary management of severe acute kidney injury and refractory cardiorenal syndrome: JACC council perspectives[J]. J Am Coll Cardiol, 2020, 76(9): 1084-1101. DOI: 10.1016/j.jacc.2020.06.070.
16. Costanzo MR, Ronco C, Abraham WT, et al. Extracorporeal ultrafiltration for fluid overload in heart failure: current status and prospects for further research[J]. J Am Coll Cardiol, 2017, 69(19): 2428-2445. DOI: 10.1016/j.jacc. 2017.03.528.
17. Augustyn A, Peng L, Singal AG, et al. Surveillance for hepatocellular carcinoma secondary to cardio-genic cirrhosis in patients with congenital heart disease[J]. Clin Res Cardiol, 2015, 104(5):446-449. DOI: 10.1007/s00392-015-0809-4.
Popular Papers
-
Analysis of the effect of dietary factors on irritable bowel syndrome by Mendelian randomized method
Apr. 25, 20254522
-
Analysis of spatial distribution characteristics and influencing factors of depression among elderly people in China
Mar. 25, 20252905
-
Advances in the study of the effects of circadian rhythm disruption on male infertility
Mar. 25, 20252853
-
Constructing a predictive model for mild cognitive impairment in elderly individuals with coexisting multiple diseases based on machine learning algorithms
Apr. 25, 20252582
-
Development and future prospect of project-based learning in medical education from interdisciplinary perspective: taking the teaching practice of Sichuan University as an example
Apr. 25, 20252496
-
The role of neutrophil extracellular traps in ulcerative colitis
Mar. 25, 20252486
-
Clinical progress of cadonilimab in the treatment of malignant tumor
Jun. 25, 20252477
-
The current status and associated factors of interprofessional cooperative learning of graduate students in traditional Chinese medicine colleges
Mar. 25, 20252362