I gave the cardiology fellows at St John Hospital and Medical Center a lecture on cardiorenal syndrome this morning. I revised and expanded the lecture I used for the residents:
- I added my rant regarding the Ronco’s codification of cardiorenal syndrome
- I added the latest NEJM article on diuretic strategies
- I included a section on extracorporeal ultrafiltration and the UNLOAD trial.
It could still use a slide or two on the various loop diuretics and their uses.
We also had an interesting discussion on the data suggesting that loop diuretics maybe harmful in acute decompensated heart failure. I should include a couple of slides on that.
Overall a significant upgrade. You can find the lecture in the usual place.
Just had a look at the cardiorenal syndrome lecture; it looks beautiful.
You are spot on about the ludicrousness (and meaninglessness) of types 1-5 of CRS. I would love to hear the full 'rant' in person!
thanks for the comment. appreciated.