Abstract
There is increasing awareness of the complex interplay between the kidney and the heart. Acute kidney injury (AKI) is common in acute heart failure and cardiogenic shock states, and worsening renal failure is associated with increased morbidity and mortality. The most important goal in the management of cardiogenic shock is a rapid restoration of cardiopulmonary stability and assessment of the underlying disease process. When pharmacologic therapy fails to produce adequate organ perfusion, mechanical circulatory support such as intra-aortic balloon counter-pulsation or ventricular assistance devices need to be considered to serve as a bridge to revascularization or other cardiac surgical interventions. Continuous renal replacement therapy is thought to be the best way to support patients with advanced AKI and cardiogenic shock.
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Karajala, V., Kellum, J.A. (2010). Kidney in Acute Heart Failure and Cardiogenic Shock. In: Jörres, A., Ronco, C., Kellum, J. (eds) Management of Acute Kidney Problems. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69441-0_29
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DOI: https://doi.org/10.1007/978-3-540-69441-0_29
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