Uraemic Cardiomyopathy: A Review of Current Literature.

Uraemic Cardiomyopathy (UC) is recognised as an intricate and multifactorial disease which portends a significant burden in patients with End-Stage Renal Disease (ESRD). The cardiovascular morbidity and mortality associated with UC is significant and can be associated with the development of arrythm...

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Publicado en:Clinical Medicine Insights: Cardiology Vol. 15; pp. 1 - 10
Autores principales: Garikapati, Kartheek, Goh, Daniel, Khanna, Shaun, Echampati, Krishna
Formato: review tables/charts Journal Article
Publicado: Sage Publications Inc. 2/23/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2/23/2021
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      pub: Sage Publications Inc.
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        atl: Uraemic Cardiomyopathy: A Review of Current Literature.
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        au:
          Garikapati, Kartheek
          Goh, Daniel
          Khanna, Shaun
          Echampati, Krishna
        affil: Department of Internal Medicine, Toowoomba Hospital, Toowoomba, QLD, Australia
      sug:
        subj:
          Kidney Failure, Chronic Complications
          Uremia Physiopathology
          Myocardial Diseases Risk Factors
          Myocardial Diseases Diagnosis
          Myocardial Diseases Therapy
          Arrhythmia
          Heart Failure
          Death, Sudden, Cardiac
          Echocardiography
          Magnetic Resonance Imaging
          Hypertrophy, Left Ventricular Diagnosis
          Adrenergic beta-Antagonists Therapeutic Use
          Aldosterone Antagonists Therapeutic Use
          Hemodialysis
          Kidney Transplantation
      ab: Uraemic Cardiomyopathy (UC) is recognised as an intricate and multifactorial disease which portends a significant burden in patients with End-Stage Renal Disease (ESRD). The cardiovascular morbidity and mortality associated with UC is significant and can be associated with the development of arrythmias, cardiac failure and sudden cardiac death (SCD). The pathophysiology of UC involves a complex interplay of traditional implicative factors such as haemodynamic overload and circulating uraemic toxins as well as our evolving understanding of the Chronic Kidney Disease-Mineral Bone Disease pathway. There is an instrumental role for multi-modality imaging in the diagnostic process; including transthoracic echocardiography and cardiac magnetic resonance imaging in identifying the hallmarks of left ventricular hypertrophy and myocardial fibrosis that characterise UC. The appropriate utilisation of the aforementioned diagnostics in the ESRD population may help guide therapeutic approaches, such as pharmacotherapy including beta-blockers and aldosterone-antagonists as well as haemodialysis and renal transplantation. Despite this, there remains limitations in effective therapeutic interventions for UC and ongoing research on a cellular level is vital in establishing further therapies.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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