Review Article

Cardiorenal Syndrome: An Unsolved Clinical Problem

Table 2

Summary of recommendations for clinical practice.

(i) Search for reversible causes: concomitant medications, hypovolemia, hypotension, and urinary tract obstruction
(ii) Loop diuretics are useful to alleviate congestive symptoms but should be used with caution: check renal function and serum electrolytes closely
(iii) ACEI, ARA II, and aldosterone antagonists should be add, in case of heart failure and systolic dysfunction: check renal function and serum electrolytes closely
(iv) Ultrafiltration may be considered refractory to diuretics in symptomatic patients
(v) Correcting anemia should be considered in cardiorenal syndrome type 2