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Insuficiencia cardíaca

On-line version ISSN 1852-3862


THIERER, Jorge. Heart failure, renal dysfunction and anaemia: cardiorenal syndrome. Insuf. card. [online]. 2007, vol.2, n.4, pp.175-186. ISSN 1852-3862.

Heart failure (HF) has become an entity of incessant growth in the last decades, at the expense of two phenomena: the population's progressive aging; and the progress experienced by the medicine in general and the cardiology in particular, that has improved the prognosis of pathologies before surely fatal: extensive heart attacks, valvulopathies out of surgical time, and why not, HF itself. Patients who would have died immediately at a past time, today would survive, but with a biggest exposure to HF. Heart failure is a particularly remarkable problem in elderly people, due to a series of reasons to those which we should add the coexistence of other pathologies that afflict them and that also are related to the definition of its prognosis and treatment. Among them, renal dysfunction and anaemia stand out, so imbricate to each other and to the HF that some authors have coined the term of "cardio-renal anaemia." Nutritional dysfunctions, diabetes, dyslipemia, among others, are still in the inkwell. In fact, we haven't made more than ratify that HF is a systemic illness, and that its boarding should be wide and multidisciplinary. Perhaps it's a mistake to speak about comorbilities, when what patients really show are profiles which should be reclassified. Beyond the terminology, an appropriate understanding of the multiple phenomena that our patients present will only allow us to be truly useful for them.

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