Interní Med. 2006; 8(11): 499-501

Multidisciplinary approach in the managent of the patients with the cardiorenal failure - first experience

MUDr. Filip Málek¹, MUDr. Martin Havrda²

¹ Kardiocentrum FN Královské Vinohrady, III. lékařská fakulta Univerzity Karlovy, Praha

² I. interní klinika FN Královské Vinohrady 3. LF UK, Praha

Renal impairment is identified in the patients with chronic heart failure more often than in general population and than in the subjects with heart disease and preserved left ventricular function. Presence of chronic kidney disease is also an important risk factor of death in the patients with heart failure. Co-existence of heart failure and renal impairment has a bad prognosis. Some authors name this connection as a cardiorenal syndrome. Management of the patients with both heart failure and renal impairment requires the multidisciplinary approach based on the co-operation of cardiologist-heart failure specialist and nefrologist. Preliminary data from the specialized tertiary care outpatient clinic show, that this approach based on an agressive medical therapy is in the patients with severe cardiorenal syndrome associated with the clinical and haemodynamic improvement without significant decrease in the kidney function during short term follow-up.

Keywords: Key words: chronic kidney disease, chronic heart failure, specialized out-patient clonic.

Published: March 1, 2007  Show citation