Incidence and types of cardiorenal syndrome in Aswan University Hospital

https://doi.org/10.53730/ijhs.v6nS2.8674

Authors

  • Mohamed Tantawiey Internal Medicine department, Faculty of Medicine, Aswan University, Egypt
  • Mohammed Zain El-Din Hafiz Internal Medicine department, Faculty of Medicine, Aswan University, Egypt
  • Omima Mohamed Aly Internal medicine department, Faculty of Medicine, Aswan University, Egypt
  • Ramadan Ghaleb Mohamed Cardiology department, Faculty of Medicine, Aswan University, Egypt

Keywords:

CRS, heart failure, chronic kidney failure

Abstract

Background:  Heart and renal disease are common, increasingly encountered and often co-exist. Half of patients with chronic heart failure develop cardiorenal syndrome (CRS), which have a poor prognosis. Objectives: to identify the prevalence of different types & risk factors associated with cardiorenal syndrome in patients presented in Aswan university hospitals. Methods: We included CRS patients with age ≥20 years old, not pregnant or lactating. We performed echocardiography and pelvic abdominal ultrasound to the included participants. Results: We included 100 participants, with average age 58.73 ± 14.81, half of them were male. The most common chronic diseases were hypertension (74.0%), and diabetes mellitus (63.0%). The prevalence of CRS type I, II, III, IV and V was 10%, 33.0%, 25.0%, 19.0%, and 13.0%, respectively. There was statistically significant relation between type of CRS and CKD (P= 0.011*).Conclusion: CRS type II had the highest prevalence of the CRS subtypes. Moreover, CKD and was a risk factor for CRS.

Downloads

Download data is not yet available.

References

Thind GS, Loehrke M, Wilt JL. Acute cardiorenal syndrome: Mechanisms and clinical implications. Cleve Clin J Med [Internet]. 2018 Mar;85(3):231–9. Available from: https://www.ccjm.org//lookup/doi/10.3949/ccjm.85a.17019

Hadjiphilippou S, Kon SP. Cardiorenal syndrome: review of our current understanding. J R Soc Med [Internet]. 2016 Jan 25;109(1):12–7. Available from: http://journals.sagepub.com/doi/10.1177/0141076815616091

Ronco C, Haapio M, House AA, Anavekar N, Bellomo R. Cardiorenal Syndrome. J Am Coll Cardiol [Internet]. 2008 Nov;52(19):1527–39. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0735109708027617

Mehta RL, Rabb H, Shaw AD, Singbartl K, Ronco C, McCullough PA, et al. Cardiorenal Syndrome Type 5: Clinical Presentation, Pathophysiology and Management Strategies from the Eleventh Consensus Conference of the Acute Dialysis Quality Initiative (ADQI). In 2013. p. 174–94. Available from: https://www.karger.com/Article/FullText/349970

Chuasuwan A, Kellum JA. Cardio-Renal Syndrome Type 3: Epidemiology, Pathophysiology, and Treatment. Semin Nephrol [Internet]. 2012 Jan;32(1):31–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0270929511001847

Di Lullo L, Bellasi A, Barbera V, Russo D, Russo L, Di Iorio B, et al. Pathophysiology of the cardio-renal syndromes types 1–5: An uptodate. Indian Heart J [Internet]. 2017 Mar;69(2):255–65. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0019483216304072

Kousa O, Mullane R, Aboeata A. Cardiorenal Syndrome [Internet]. StatPearls. 2021. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31194445

Mikhail R, Martin M, Barry M, James U, M. TJ, Ethan R. PREVALENCE, CLINICAL PROFILE, AND OUTCOME OF CARDIORENAL SYNDROME IN SYMPTOMATIC PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY. J Am Coll Cardiol [Internet]. 2019 Mar 12;73(9_Supplement_1):761. Available from: https://doi.org/10.1016/S0735-1097(19)31369-5

McMurray JJV, Adamopoulos S, Anker SD, Auricchio A, Böhm M, Dickstein K, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. Eur J Heart Fail [Internet]. 2012 Aug;14(8):803–69. Available from: http://doi.wiley.com/10.1093/eurjhf/hfs105

Ricci Z, Cruz DN, Ronco C. Classification and staging of acute kidney injury: beyond the RIFLE and AKIN criteria. Nat Rev Nephrol [Internet]. 2011 Apr 1;7(4):201–8. Available from: http://www.nature.com/articles/nrneph.2011.14

Levey AS, Andreoli SP, DuBose T, Provenzano R, Collins AJ. CKD: Common, Harmful, and Treatable—World Kidney Day 2007. Am J Kidney Dis [Internet]. 2007 Feb;49(2):175–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0272638606019147

Ronco C, Bellasi A, Di Lullo L. Cardiorenal Syndrome: An Overview. Adv Chronic Kidney Dis [Internet]. 2018 Sep;25(5):382–90. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1548559518301204

Abdullah B Bin. Cardiorenal Syndrome Type I A-A Study of its Incidence, Risk Factors, Laboratory Parameters and Outcome. J Cardiol Cardiovasc Ther. 2019 Jul;14(3).

Reddy M, Madappa N, Hegde A, Prakash V. A prospective single center study to assess the incidence and risk factors associated with cardiorenal syndrome with respect to its subtypes. J Pract Cardiovasc Sci [Internet]. 2020;6(2):162. Available from: http://www.j-pcs.org/text.asp?2020/6/2/162/293595

Shah HR, Singh NP, Aggarwal NP, Singhania D, Kumar A. Cardiorenal Syndrome: Clinical Outcome Study. J Assoc Physicians India [Internet]. 2016 Dec;64(12):41–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28405987

Gigante A, Liberatori M, Gasperini ML, Sardo L, Di Mario F, Dorelli B, et al. Prevalence and Clinical Features of Patients with the Cardiorenal Syndrome Admitted to an Internal Medicine Ward. Cardiorenal Med [Internet]. 2014;4(2):88–94. Available from: https://www.karger.com/Article/FullText/362566

Hu W, He W, Liu W, Fang X, Wu Y, Yu F, et al. Risk Factors and Prognosis of Cardiorenal Syndrome Type 1 in Elderly Chinese Patients: A Retrospective Observational Cohort Study. Kidney Blood Press Res [Internet]. 2016;41(5):672–9. Available from: https://www.karger.com/Article/FullText/447936

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864

Published

09-06-2022

How to Cite

Tantawiey, M., Hafiz, M. Z. E.-D., Aly, O. M., & Mohamed, R. G. (2022). Incidence and types of cardiorenal syndrome in Aswan University Hospital. International Journal of Health Sciences, 6(S2), 13998–14006. https://doi.org/10.53730/ijhs.v6nS2.8674

Issue

Section

Peer Review Articles