@article {2446, title = {Preeclampsia: A Cardiorenal Syndrome in Obstetric Intensive Care Unit}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {January 2025}, pages = {1439-1441}, type = {Case Report}, chapter = {1439}, abstract = {

Introduction: Cardiorenal syndrome (CRS) encompasses a spectrum of disorders involving heart and kidneys. Preeclampsia and cardiovascular disease are most likely occur via oxidative stress induced endothelial dysfunction. Case presentation: A 34-years-old woman was referred with difficulty of breathing. She had a history of preeclampsia and refractory acute kidney injury (AKI). The patient was diagnosed with severe preeclampsia, partial HELLP syndrome, acute lung edema, cardiomyopathy, CRS, anemia, hyperkalemia, hypoalbuminemia, and AKI. Discussion: CRS and preeclampsia share similar risk factors and mechanisms including pre-existing renal or cardiac disease, diabetes, chronic hypertension, hypertriglyceridemia, obesity, metabolic syndrome, or other systemic disease. She had a history of preeclampsia and refractory AKI. Cardiac dysfunction reduce arterial blood supply and impairs venous return. Renal failure leads to the retention of water and an excessive volume demand. Conclusion: Cardiovascular disorders leading to CRS and preeclampsia remain the leading cause of morbidity in pregnancy.

}, keywords = {Cardiorenal syndrome, Hypertension, Preeclampsia}, doi = {10.5530/pj.2024.16.232}, author = {Mohamad Evandiar Izwardy and Mariza Fitriati} }