Resumen de Cardiorenal Syndrome: Diagnosis and Management

João S. Orvalho, Larry D. Cowgill

• An increased ability to identify and understand the pathophysiological characteristics of the kidney and the cardiovascular system and their interactions is needed.

  Novel cardiac and renal biomarkers and advanced imaging are crucial for early detection and premature diagnosis and therapy.

  Worsening renal function in the context of a clinical maneuvers (eg, starting diuretic therapy) may not be detrimental in the long-term, and treatment of the congestion/patient is associated with better outcomes.

  A cardiorenal panel that includes more sensitive renal and cardiac biomarkers and requires a blood and urine sample may substitute the current laboratorial assessment of the kidney and heart.

  A multidisciplinary evaluation including the expertise of cardiologists and nephrologists may benefit the management of cardiorenal patients.