Acute renal heart syndrome: How does kidney disease cause heart failure?

In the medical field, with the growing awareness of acute kidney disease, a special clinical syndrome – acute kidney syndrome (CRS) – has been discovered. This syndrome is characterized by an acute kidney disease that leads to an acute heart function impairment, leading to acute heart failure. As a senior medical practitioner, I will provide you with general knowledge of acute kidney syndrome, including its causes, clinical performance, why it causes cardiac deficiencies from kidney diseases, and the means of treatment.

I. Causes of acute kidney syndrome

Acute renal syndrome occurs, often as a result of a combination of causes. Among them, kidney diseases are the “firing threads” that cause this series of pathological changes. Specifically, the following are common causes:

1. Acute kidney damage: acute kidney damage (AKI) is one of the main causes of acute kidney heart syndrome. This may be due to a sharp decline in kidney function due to a variety of factors, including drug side effects, infection, poisoning and ischaemic blood. When the kidneys are unable to effectively remove excess moisture and toxins in the body, sodium sodium retention and electrolyte disorders can result in an additional burden on the heart.

2. Acute increase in chronic renal disease: For patients already suffering from chronic renal disease, any small infection, fatigue or inappropriate use of drugs can cause acute increase in the condition, which can induce acute renal syndrome.

3. Systemic diseases: Systemic diseases such as sepsis, vascular disease, diabetes can also cause both kidney and heart damage, leading to acute renal heart syndrome.

II. Clinical performance of acute kidney syndrome

The clinical manifestations of acute renal cardiac syndrome are complex and varied, with the potential for both kidney and heart symptoms. The following are some of the most common clinical manifestations:

1. Renal symptoms: Patients may have symptoms such as reduced urine, changes in urine colour, oedema, hypertension. These symptoms indicate that the kidney function is impaired and cannot effectively exclude excess water and toxins in the body.

2. Heart symptoms: As the condition increases, the patient may experience heart symptoms such as heart attack, short breath, breathing difficulties and chest pain. These symptoms indicate that the heart function has been impaired and that the body is unable to provide sufficient blood and oxygen.

3. All-body symptoms: In addition to kidney and heart symptoms, the patient may suffer from all-body symptoms such as weakness, appetite, nausea and vomiting. These symptoms indicate that the overall health of the patient has been seriously affected.

iii. Why does a kidney disease cause cardiac failure?

Acute renal cardiac syndrome occurred as a result of the interaction between the kidney and the heart. When the kidney function is impaired, sodium sodium retention and electrolytic disorders can result, thus increasing the burden on the heart. Specifically, the following are the key factors that contribute to heart failure:

1. Sodium sodium retention: The kidneys cannot effectively remove excess water from the body, resulting in increased blood capacity, and the heart needs greater strength to pump blood, thus increasing the burden on the heart.

2. Electrolytic disorders: Loss of kidney function leads to a breakdown of the balance of electrolyte (e.g. potassium, sodium, calcium, etc.), which in turn affects the electrophysiological activity of the heart and increases the risk of cardiac disorders.

3. Inflammatory response: Renal diseases may cause an inflammatory reaction to the whole body, which causes heart cells to be damaged, leading to reduced heart function.

Anaemia: Patients with kidney diseases are often accompanied by anaemia, which leads to a lack of oxygen in the heart and further increases the burden on the heart.

IV. Treatment for acute renal syndrome (AFR) The following are common treatments:

1. Treatment of causes of illness: First, treatment of causes of illness is required. For example, acute kidney damage caused by infection requires antibiotic treatment against infection.

2. Urine treatment: The urea can help the patient remove excess water from the body and reduce the burden on the heart. It should be noted, however, that the use of urea is subject to strict dose and velocity control to avoid causing electrolyte disorders and low blood pressure.

3. Dialysis treatment: In cases of severe acute kidney damage, dialysis may be required to remove toxins and excess water from the body. Dialysis can help patients to stay in danger and buy time for subsequent treatment.

Cardiovascular support treatment: Cardiovascular support treatment is required for patients with cardiac deficiencies. For example, heart function is improved by the use of a strong heart, expansionary vascular drugs, etc.

Nutritional support treatment: People with acute kidney syndrome often suffer from malnutrition and need nutritional support treatment. Through a reasonable diet and nutritional supplement, patients can be helped to recover their physical strength and become more resilient.

In conclusion, acute kidney syndrome is a serious clinical syndrome that requires our utmost attention. Knowledge of their causes, clinical behaviour and means of treatment help us to better prevent and treat the disease. At the same time, there is a greater need to strengthen self-monitoring and management of patients who are already suffering from kidney or heart diseases, and to obtain timely medical treatment and follow medical advice.