Advertisement

Echocardioscopy in cardiovascular stratification of chronic kidney diseases: the nephrologist is the protagonist

L’ecocardioscopia nella stratificazione cardiovascolare delle malattie renali croniche: il Nefrologo Protagonista

Abstract

Cardiovascular disease (CV) is the leading cause of morbidity and mortality in patients with chronic kidney disease (CKD). The increase in cardiac complications in patients with CKD has encouraged nephrologists to acquire the cardiac diagnostic competences in the use of ultrasound. A formal echocardiographic approach requires standard times and the immediate availability of the cardiac-sonographer. Therefore, a goal-directed cardiac ultrasound and a focused echocardiogram or echocardioscopy strategy were created specifically tailored to the non-cardiologists as well as internists, interventists and intensivists. The concept of echocardioscopy has been incompletely evaluated and it is necessary to find a curricular program to grant proficiency. The introduction of echocardioscopy in the nephrologist’s tasks has the advantage of widening the spectrum of the diagnostic of cardiac complications in CKD patients, but also confers several technical limitations. The aim of this revision is to analyze the use of the cardiac ultrasound equipment by the nephrologists and the requirements for the echocardioscopy strategy. In addition, it will specify the advantages and the disadvantages of cardiac-diagnostic management by nephrologists suggesting the possible clinical settings for the application of this method.

G Tec Nefrol Dial 2016; 28(2): 122 - 127

Article Type: SPECIAL FOCUS REVIEW

Article Subject: CARDIONEFROLOGIA

DOI:10.5301/GTND.2016.15842

Authors

Rodolfo F. Rivera, Antonio De Pascalis, Fulvio Floccari, Luca Di Lullo

Article History

This article is available as full text PDF.

Download any of the following attachments:

Authors

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

No supplementary material is available for this article.