Skip to main content

Interactions between heart disease and kidney disease

There are a number of important interactions between heart disease and kidney disease. The interaction is bidirectional, as acute or chronic dysfunction of the heart or kidneys can induce acute or chronic dysfunction in the other organ. The clinical importance of such relationships is illustrated by the following observations:

●Mortality is increased in patients with heart failure (HF) who have a reduced glomerular filtration rate (GFR).

●Patients with chronic kidney disease have an increased risk of both atherosclerotic cardiovascular disease and HF, and cardiovascular disease is responsible for up to 50 percent of deaths in patients with renal failure. Consult with cardiovascular doctor with chronic kidney diseases.

●Acute or chronic systemic disorders can cause both cardiac and renal dysfunction

●Type 1 (acute) - Acute HF results in acute kidney injury (previously called acute renal failure).

●Type 2 - Chronic cardiac dysfunction (eg, chronic HF) causes progressive chronic kidney disease (CKD, previously called chronic renal failure).

●Type 3 - Abrupt and primary worsening of kidney function due, for example, to renal ischemia or glomerulonephritis causes acute cardiac dysfunction, which may be manifested by HF.

●Type 4 - Primary CKD contributes to cardiac dysfunction, which may be manifested by coronary disease, HF, or arrhythmia.

●Type 5 (secondary) - Acute or chronic systemic disorders (eg, sepsis or diabetes mellitus) that cause both cardiac and renal dysfunction

Comments

Popular posts from this blog

A-FIB VERSUS JUNCTIONAL RHYTHMS

. ATRIAL FIBRILLATION: On your rhythm strip, the two most important characteristics are: . 1) A rhythm that’s IRREGULARLY irregular (meaning there’s no way to predict the next beat) 2) No discernible P waves . In fact, if you notice an irregularly irregular rhythm and you’re having to convince yourself that you see P waves... it’s probably A-fib (multifocal atrial arrhythmias like WAP/MAT could fit the differential) . *In my opinion: Don’t get caught up in using fibrillation waves as an absolute criteria. Very fine A-fib can sometimes produce a near isoelectric line between beats. . JUNCTIONAL RHYTHMS: The pacemaker cells surrounding the AV junction are capable of initiating regular impulses but at a slightly slower natural rate than their sinus and atrial superiors. The heart is built this way so that when the pacemaker cells with the fastest intrinsic rates are in action, those below are suppressed and function primarily to pass along the impulse from above. . For these reasons, we s...

The Pathway of Blood

Here’s a great illustration on the pathway of blood flow through the heart. It may seem easy...but you should know this cold as well as the cardiac anatomy, both of which will make procedures and understanding hemodynamics easier. . . . đŸ’™VENOUS BLOOD- Blood flows into the heart (into the right atrium) through two major veins (the superior and inferior vena cava) as well as from the coronary sinus (cardiac venous blood from the coronaries) and then out through the first AV valve (tricuspid valve) into the right ventricle. From there blood flows into the right ventricular outflow tract, across the first semilunar valve (pulmonic valve) and into the main and then left and right pulmonary arteries. Blood then enters the lungs to become oxygenated. . . . ❤️ARTERIAL BLOOD- now that blood is oxygenated flow goes from the lungs into the left atrium through 4 veins (usually) called the pulmonary veins. From the left atrium blood flows across the other AV valve (mitral valve) and into the left ...

How to Stop Ectopic Beats

What is Ectopic Beats? According to Dr. Boon Lim - Ectopic beats are also known as Ectopic Heart Rhythm or cardiac ectopy. It is produced when the heart creates a premature beat, usually followed by a brief pause. Types of Ectopic Beats: 1. Premature Ventricular Contraction (PVC) 2. Premature Atrial Contraction (PAC) Causes Of Ectopic Beats There are different causes of Ectopic Beats. Some of these are  Excessive alcohol consumption Excessive caffine consumptionPrescription drugs Stress (which produces high adrenaline levels) Exercise Diarrhoea and vomitting, which may disturb electrolyte levels (typically low potassium levels) Heart muscle damage from a heart attack Heart enlargement (cardiomyopathy) Valvular heart disease, such as a floppy mitral valve (mitral valve prolapse) Symptoms of Ectopic Beats Following Can Be The Symptom of Ectopic Beats: your heart is fluttering you are hyper aware of your heartbeat you feel faint or ...