Hypertension artérielle et insuffisance rénale : abord thérapeutique avec mise en place d’un traitement prenant en compte l’insuffisance rénale et cardiaque (notice n° 1615510)
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|---|---|
| fixed length control field | 03629cam a2200385 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260111073659.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Grégoire, Tiphaine |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Hypertension artérielle et insuffisance rénale : abord thérapeutique avec mise en place d’un traitement prenant en compte l’insuffisance rénale et cardiaque |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2025.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 31 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Le syndrome cardio-rénal (SCR) chez le chien et le chat désigne l’interaction pathologique entre dysfonction cardiaque et rénale, où la défaillance d’un organe aggrave celle de l’autre. Ce syndrome, souvent sous-diagnostiqué, complexifie la prise en charge thérapeutique, car il nécessite de trouver un équilibre délicat entre maintien de la perfusion rénale, contrôle de la pression artérielle, prise en charge de la congestion et limitation de la progression de la maladie rénale chronique (MRC). Cet article propose une synthèse des recommandations actuelles (IRIS, ACVIM) et des études récentes concernant la gestion combinée de l’insuffisance cardiaque, de la MRC et de l’hypertension artérielle chez les animaux en syndrome cardio-rénal. L’approche thérapeutique repose sur une individualisation des traitements : choix raisonné des diurétiques, inhibiteurs du SRAA (IECA, antagonistes des récepteurs de l’angiotensine II), bloqueurs calciques et bêta-bloquants, tout en tenant compte du statut volémique, du risque d’azotémie et de l’évolution de la fonction rénale. La surveillance rapprochée et les ajustements thérapeutiques progressifs sont essentiels pour optimiser la qualité de vie de ces animaux difficiles à prendre en charge. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Cardiorenal syndrome (CRS) in dogs and cats refers to the pathological interplay between cardiac and renal dysfunction, where failure of one organ exacerbates the other. Frequently underdiagnosed, CRS presents significant therapeutic challenges, as clinicians must balance renal perfusion, blood pressure control, volume status, and the progression of chronic kidney disease (CKD). This article provides an overview of current recommendations (IRIS, ACVIM) and recent studies on the integrated management of heart failure, CKD, and systemic hypertension in cardiorenal patients. Therapeutic strategies must be tailored individually, taking into account the patient’s clinical profile and disease stage. This includes thoughtful use of diuretics, RAAS inhibitors (ACE inhibitors, angiotensin II receptor blockers), calcium channel blockers, and beta-blockers, while closely monitoring hydration status, azotemia risk, and renal function evolution. Frequent reassessment and gradual treatment adjustments are key to improving outcomes and quality of life in these complex cases. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chat |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chien |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | diurétiques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hypertension artérielle |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | insuffisance cardiaque |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | maladie rénale chronique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | SRAA |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | syndrome cardio-rénal |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | thérapeutique combinée |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cardiorenal syndrome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cat |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chronic kidney disease |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | combined therapy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | diuretics |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dog |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | heart failure |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | RAAS |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | systemic hypertension |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Le Nouveau Praticien Vétérinaire - Canine & féline | 22 | 2-3 | 2025-12-10 | p. 132-142 | 1637-3065 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-le-nouveau-praticien-veterinaire-canine-feline-2025-2-3-page-132?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-le-nouveau-praticien-veterinaire-canine-feline-2025-2-3-page-132?lang=fr&redirect-ssocas=7080</a> |
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