Cardio-reno-Metabolic health: discussing the recommendations of the American Heart Association

Abstract

In recent years, the importance of the concept of cardio-reno-metabolic health (CRMH) has been increasingly emphasized, reflecting the close pathogenetic and clinical relationship of cardiovascular diseases (CVD), renal dysfunction and metabolic health in general. CVD, kidney disease and type 2 diabetes mellitus (type 2 diabetes) are the key causes of high disability and mortality worldwide, and therefore cause a heavy economic burden on the health systems of all countries. Understanding the basic principles of identifying and correcting common risk factors makes it possible to identify the main strategies aimed at improving the quality and life expectancy of patients. In 2023, the American Heart Association presented updated recommendations on cardiovascular, renal and metabolic health, which describes approaches to the definition, principles of staging, prevention strategies, as well as algorithms for the treatment of cardio-reno-metabolic syndrome (CRMS). This review presents the key provisions on the management of CRMS proposed in these clinical recommendations.