Venous Doppler flow patterns,venous congestion,heart disease and renal dysfunction:A complex liaison  

作　　者：Alessio Di Maria Rossella Siligato Marta Bondanelli Fabio Fabbian 

机构地区：[1]Specialized Medicines,Renal Unit,University Hospital St.Anna of Ferrara,Ferrara I-44124,Italy [2]Department of Biomedical,Dental,Morphological and Functional Imaging Sciences,University of Messina,Messina I-98121,Italy [3]Department of Medical Sciences,University of Ferrara,Ferrara I-44124,Italy [4]Department of Medical Sciences,University of Ferrara,Ferrara 44124,Italy

出　　处：《World Journal of Cardiology》2024年第1期5-9,共5页世界心脏病学杂志（英文版）（电子版）

摘　　要：The World Journal of Cardiology published an article written by Kuwahara et al that we take the pleasure to comment on.We focused our attention on venous congestion.In intensive care settings,it is now widely accepted that venous congestion is an important clinical feature worthy of investigation.Evaluating venous Doppler profile abnormalities at multiple sites could suggest adequate treatment and monitor its efficacy.Renal dysfunction could trigger or worsen fluid overload in heart disease,and cardio-renal syndrome is a well-characterized spectrum of disorders describing the complex interactions between heart and kidney diseases.Fluid overload and venous congestion,including renal venous hypertension,are major determinants of acute and chronic renal dysfunction arising in heart disease.Organ congestion from venous hypertension could be involved in the development of organ injury in several clinical situations,such as critical diseases,congestive heart failure,and chronic kidney disease.Ultrasonography and abnormal Doppler flow patterns diagnose clinically significant systemic venous congestion.Cardiologists and nephrologists might use this valuable,noninvasive,bedside diagnostic tool to establish fluid status and guide clinical choices.

关 键 词：Cardio-renal syndrome Fluid overload Venous congestion Acute kidney injury ULTRASOUND Doppler flow patterns 

分 类 号：R541.6[医药卫生—心血管疾病]