一からわかる循環器腎臓病学

出版社: 文光堂
著者:
発行日: 2021-03-16
分野: 臨床医学:内科  >  循環器一般
ISBN: 9784830619687
電子書籍版: 2021-03-16 (第1版第1刷)
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超高齢社会となり慢性腎臓病(CKD)を合併する心血管疾患患者が増えている.近年の心腎症候群 cardiorenal syndrome(CRS)という概念の導入で,心臓と腎臓の密接な連関は日常診療においても重要な領域となっているが臨床エビデンスは少ない.本書は今まであまり触れられてこなかったCKD合併心血管疾患の疫学,病態,機序,診断,リスク層別化,治療について,執筆陣のエキスパートオピニオンを盛り込み,現時点でのスタンダードを確立することを目指した一冊.

目次

  • 序 章
     A 心腎連関(cardio-renal connection)は何が問題なのか?

    I 心不全と腎不全の関係を考える-cardio-renal syndrome
     A cardiorenal syndrome (CRS)とは?
     B CRS type1-急性心不全とAKI
      1 なぜAKIが起きるか?
      2 AKIの診断
      3 心筋傷害の診断
      4 急性心不全患者の利尿をどうするか?
      5 利尿以外の心不全薬物治療をどうするか?
     C CRS type2―慢性心不全とCKD
      1 CKD合併による慢性心不全患者の予後
      2 慢性心不全患者で腎機能が悪化する機序は?
      3 塩分制限と水分制限
      4 慢性期の利尿薬投与
      5 HFrEF患者の薬物療法
      6 HFpEF患者の薬物療法
      7 SGLT2阻害薬の心腎保護効果
      8 腎機能悪化を防ぐために回避すべき薬剤
      9 デバイス治療の有効性
      10 再入院予防のために注意すべきこと
      11 心臓リハビリと腎臓リハビリ
      12 左室補助循環と腎機能
      13 CKD合併症の治療
      14 末期心不全患者の緩和ケア
      [Meet the expert]Fontan術後のCKD
     D CRS type3 急性腎障害による心不全
     E CRS type4 CKDの結果生じる慢性心不全とは?
     F CRS type5 二次性の心臓と腎臓障害

    II 腎不全と心血管イベントの関係を考える
     A 疫学と機序
      1 CKDで増加する冠動脈疾患
      2 CKDと動脈硬化-その機序
      3 尿毒素と動脈硬化
     B 診 断
      1 CKD合併冠動脈疾患患者の特徴
      2 CKD合併急性心筋梗塞の特徴
      [Topics]CKD患者だけでもトロポニンが上昇する?
      3 冠動脈疾患の診断
      [Topics]CKDと冠動脈石灰化
      [Meet the expert]造影剤腎症をどのように予防するか
     C 治 療
      1 薬物治療
      2 血行再建の適応と選択
     D 末梢動脈疾患
      1 疫学と診断
      2 治 療

    III 腎不全と不整脈を考える
     A 心房細動
      1 疫学と機序
      2 病 態
      3 抗凝固療法
      4 カテーテルアブレーション
     B CKDと突然死

    IV 透析と腎移植の心血管疾患への影響を考える
     A 透析患者
      1 透析と心血管疾患-疫学
      2 透析の心血管系への影響
      3 冠動脈疾患の特徴と診断
      4 冠動脈疾患の治療-薬物治療と血行再建
      5 心不全の診断
      6 心不全の治療
     B 腎移植患者
      1 動脈硬化への影響
      2 心不全への影響

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

序章

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I 心不全と腎不全の関係を考える - cardio - renal syndrome

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P.22 掲載の参考文献
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P.26 掲載の参考文献
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5) Badve, SV et al : Effects of beta-adrenergic antagonists in patients with chronic kidney disease : a systematic review 心腎症候群における悪循環への対策 and meta-analysis. J Am Coll Cardiol 58 : 1152-1161, 2011
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5) 厚生労働省 : 人生の最終段階における医療・ケアの決定プロセスに関するガイドライン, 平成30年3月改訂版. https://www.mhlw.go.jp/file/06-Seisakujouhou-10800000-Iseikyoku/0000197721.pdf (2021年1月閲覧)
6) 透析の開始と継続に関する意思決定プロセスについての提言作成委員会 : 透析の開始と継続に関する意思決定プロセスについての提言. 透析会誌 53 : 173-217, 2020
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II 腎不全と心血管イベントの関係を考える

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III 腎不全と不整脈を考える

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IV 透析と腎移植の心血管疾患への影響を考える

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