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指南与共识

慢性肾脏病相关心肌病综合管理中国专家共识(2024版)

  • 朱丽
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  • 中国医院协会血液净化中心分会

收稿日期: 2024-06-11

  修回日期: 2024-06-17

  网络出版日期: 2024-08-12

Expert consensus on management of chronic kidney disease associated cardiomyopathy

  • ZHU Li
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  • Chinese Hospital  Association Blood Purification Centers Branch

Received date: 2024-06-11

  Revised date: 2024-06-17

  Online published: 2024-08-12

摘要

慢性肾脏病(chronic kidney disease,CKD)相关心肌病发病率高,严重影响患者预后,此类患者的综合管理是肾脏科医生和心脏科医生的难点。基于当前诊疗现状,本专家共识由肾脏病、心脏病、药学、影像学专家组成的专家共识编写委员会共同编写,结合循证医学证据及临床经验,系统介绍了CKD相关心肌病的定义、危险因素、发病机制、诊断、筛查、综合管理(生活方式、血压、贫血、CKD矿物质及骨代谢异常、肾脏替代治疗)及预防等内容。目的在于指导、规范CKD相关心肌病的管理,提高医务人员对该疾病的认识及临床诊疗水平。

本文引用格式

朱丽 . 慢性肾脏病相关心肌病综合管理中国专家共识(2024版)[J]. 中国血液净化, 2024 , 23(08) : 561 -580 . DOI: 10.3969/j.issn.1671-4091.2024.08.001

Abstract

The incidence of chronic kidney disease (CKD) associated cardiomyopathy is high, which seriously affects the prognosis of patients. The comprehensive management of such patients is a challenge for both nephrologists and cardiologists. Based on the current status of diagnosis and treatment, this expert consensus is jointly written by an expert consensus writing committee composed of experts in nephrology, cardiology, pharmacy and radiology. Based on evidence-based medicine and clinical experience, this consensus systematically introduces the definition, risk factors, pathogenesis, diagnosis, screening, comprehensive management (lifestyle, blood pressure, anemia, chronic kidney disease-mineral and bone disorder, renal replacement therapy) and prevention of CKD associated cardiomyopathy. The purpose of this expert consensus is to guide and standardize the management of CKD associated cardiomyopathy, and to improve the understanding and clinical diagnosis and treatment.
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