ACE Inhibitors in CKD with CHF : Cardiologist proposes … Nephrologist disposes !

I used to tell my students ,the relationship between the heart and kidney  is so close , it is never justified for  the  two departments of Nephrology and Cardiology  are  physically away by two blocks in our institute . Kidneys are vital to maintain the volume and pressure of body fluids and heart is responsible for keeping this fluid circulating. In clinical setting  it is a well known secret ,most deaths in patients who are on dialysis is cardiac while  most  deaths in patients  with CHF are renal. It remains a mystery  why kidneys were   ever considered as a circulatory organ  , when  our medical pundits de-compartmentalised  human organ systems ! CKD is pre-cardiac failure and CHF is pre-renal failure The Heart /Kidney affair is so intimate in many  pathological situations both either succeed or fail  simultaneous or sequentially. While CKD  results in and pressure and volume overload of heart , cardiac failure cause pressure and volume under load (pre-renal  factor) which worsen the renal function and aggravate cardiac function alter. In essence,  it is vicious cycle of two  serial organs  performing  the vital circulatory function with body fluids playing a  role of diligent mediator.Whenever the kidney  fails heart  is stretched and stressed  to its Frank starling limits by the volume  as well as the accompanying HT load. While text books link these two organ as simple cardio-renal syndrome it is not happening at the level of patient’...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: cardiac failure cardiac physiology Cardiology -Therapeutic dilemma cardiology -Therapeutics chf is a ckd equivalent CHF is CKD equivalent Intra renal edema Source Type: blogs