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Lanktree MB, Pei Y. Does elevated urinary Dkkopf-3 level predict vulnerability to kidney injury during cardiac surgery? ANNALS OF TRANSLATIONAL MEDICINE 2020; 7:S296. [PMID: 32016015 DOI: 10.21037/atm.2019.11.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Matthew B Lanktree
- Divsion of Nephrology, St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, Ontario, Canada
| | - York Pei
- Divsion of Nephrology, University Health Network and University of Toronto, Toronto, Ontario, Canada
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102
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Ewen S, Mahfoud F, Lauder L, Scheller B, Böhm M. [Valvular heart disease in patients with chronic kidney disease]. Internist (Berl) 2019; 61:368-374. [PMID: 31664462 DOI: 10.1007/s00108-019-00692-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Valvular heart disease is a common comorbidity in patients with impaired renal function, especially in those with end-stage renal disease undergoing dialysis. Sclerosis and calcification of the heart valves and the valve ring are particularly relevant in the etiology of the diseases. These typically occur at the aortic and mitral valves and can lead to both insufficiency and stenosis of the affected valve. In the current guidelines of the European Society for Cardiology published in 2017, surgical treatment remains the standard of care for most forms of severe valvular heart disease; however, the presence of chronic kidney disease impairs clinical outcomes and is associated with higher mortality rates when compared to patients with preserved renal function. Catheter-based treatment options have emerged as an effective and safe alternative for patients >75 years and/or with increased surgical risk. Consequently, in patients with appropriate anatomy and elevated risk, interventional treatment options should also be discussed in the heart team.
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Affiliation(s)
- S Ewen
- Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str., IMED, 66421, Homburg/Saar, Deutschland.
| | - F Mahfoud
- Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str., IMED, 66421, Homburg/Saar, Deutschland
| | - L Lauder
- Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str., IMED, 66421, Homburg/Saar, Deutschland
| | - B Scheller
- Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str., IMED, 66421, Homburg/Saar, Deutschland
| | - M Böhm
- Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str., IMED, 66421, Homburg/Saar, Deutschland
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103
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Cerdá J. A biomarker able to predict acute kidney injury before it occurs? Lancet 2019; 394:448-450. [PMID: 31202595 DOI: 10.1016/s0140-6736(19)30843-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Accepted: 04/01/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Jorge Cerdá
- Albany Medical College and St Peter's Healthcare Partners, Albany, NY 12208, USA.
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