Patienten mit chronischer Niereninsuffizienz zeigen häufig atypische Symptome für eine kardiovaskuläre Problematik. Die richtige Interpretation der Symptomatik ist ausschlaggebend, um das Risiko für einen herzbedingten Notfall richtig einzuschätzen und präventive Maßnahmen zu ergreifen und die richtige Therapie einzuleiten.
Abstract
Patients with chronic renal insufficiency often show symptoms that are atypical for cardiovascular problems. The correct interpretation of the symptoms is crucial in order to correctly assess the risk of a heart-related emergency and to take preventive measures and initiate the right therapy. Biomarkers such as NT-proBNP, troponin T or hsCRP (highly sensitive CRP) are independent predictors of mortality, but do not replace instrument-based diagnostics. Patients with renal insufficiency often have stiff vessels which, due to the premature reflection of the pulse wave, can lead to left ventricular dysfunction and ultimately to heart failure.
Schlüsselwörter
Niereninsuffizienz - CKD - kardiovaskuläres Risiko - Troponin - Dialyse - renal failure
Keywords
CKD - cardiovascular risk - troponin - dialysis
