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. 2022 Oct 11;50(8):1110–1124. doi: 10.1002/jcu.23265

TABLE 1.

Subtypes of cardiorenal syndrome (CRS) according to acute dialysis quality initiative working group classification

Cardiorenal types Characteristics Causes of morbidity
Type 1 (acute cardiorenal) Acute worsening of heart function leading to acute kidney injury and/or dysfunction Cardiogenic shock and AKI, acute decompensated heart failure (ADHF) resulting in AKI
Type 2 (chronic cardiorenal) Chronic abnormalities in heart function leading to progressive kidney injury and/or dysfunction Chronic heart failure with left ventricular remodeling and dysfunction leading to CKD
Type 3 (acute renocardiac) Acute worsening of kidney function leading to acute heart injury and/or dysfunction Heart failure in the setting of AKI from volume overload, inflammatory surge (es: pericarditis) and accompanying metabolic disturbances
Type 4 (chronic renocardiac) Chronic kidney disease leading to heart injury, disease, and/or dysfunction Myocardial remodeling and heart failure from CKD‐associated cardiomyopathy
Type 5 (secondary cardiorenal) Systemic conditions leading to simultaneous injury and/or dysfunction of heart and kidney Diabetes, amyloidosis, sepsis, cirrhosis, hypertension, vasculitis

Abbreviations: ADHF, acute decompensated heart failure; AKI, acute kidney injury; CKD, chronic kidney disease.