11 doctors weighed in:

I have heard there is a bit of a struggle between cardiologists and nephrologists; something about the heart vs. The kidneys. Any insights for why?

11 doctors weighed in
Dr. Tarek Naguib
Internal Medicine - Nephrology & Dialysis
7 doctors agree

In brief: Too wet or too dry?

A weak heart (CHF) would like the cirulation to be "dry" i.
e. Less fluid overload, in order to function better. The weak kidneys (chronic kidney disease or acute kidney injury) slows down if the circulation is dry. There is usually a happy medium between the two systems that both cardiologists and nephrologists are looking for. Also, some cardiac medicines slow down kidneys raising some debates.

In brief: Too wet or too dry?

A weak heart (CHF) would like the cirulation to be "dry" i.
e. Less fluid overload, in order to function better. The weak kidneys (chronic kidney disease or acute kidney injury) slows down if the circulation is dry. There is usually a happy medium between the two systems that both cardiologists and nephrologists are looking for. Also, some cardiac medicines slow down kidneys raising some debates.
Dr. Tarek Naguib
Dr. Tarek Naguib
Thank
Dr. Karen Sibert
Anesthesiology
3 doctors agree

In brief: Fluid requirements

I would not characterize this as a struggle between specialties.
What you may have heard is a debate about fluid requirements for critically ill patients. Sometimes patients whose hearts are functioning poorly cannot tolerate much fluid, and may need diuretics to eliminate fluid. On the other hand, the kidneys need fluid for optimum function. This can be a complicated critical care issue.

In brief: Fluid requirements

I would not characterize this as a struggle between specialties.
What you may have heard is a debate about fluid requirements for critically ill patients. Sometimes patients whose hearts are functioning poorly cannot tolerate much fluid, and may need diuretics to eliminate fluid. On the other hand, the kidneys need fluid for optimum function. This can be a complicated critical care issue.
Dr. Karen Sibert
Dr. Karen Sibert
Thank
1 comment
Dr. Tarek Naguib
Also, some medicines like tekturna, used frequently for CHF by cariologists, added to other medicines, may precipitate kidney failure. This issue has just been recently corrected by cariology literature and now cardiologists are stopping some of these meds.
Dr.

In brief: Heart v kidneys

Hi sinan, most cardiologist and nephrologists live in harmony.
However, in certain disease processes, treatments can effect either organ in negative ways. Too much of one medication and the kidneys become angry, not enough and the heart struggles. The kidneys need the heart to pump well to work properly so they are closely tied. Hope that helps.

In brief: Heart v kidneys

Hi sinan, most cardiologist and nephrologists live in harmony.
However, in certain disease processes, treatments can effect either organ in negative ways. Too much of one medication and the kidneys become angry, not enough and the heart struggles. The kidneys need the heart to pump well to work properly so they are closely tied. Hope that helps.
Dr.
Thank
Dr. Binny Koshy
Internal Medicine - Nephrology & Dialysis
1 doctor agrees

In brief: Connected

Diagnostic procedures and treatments for heart can affect the kidney function and people with severe kidney disease most likely also have cardiac issues.

In brief: Connected

Diagnostic procedures and treatments for heart can affect the kidney function and people with severe kidney disease most likely also have cardiac issues.
Dr. Binny Koshy
Dr. Binny Koshy
Thank
Get help from a real doctor now
Dr. Tonga Nfor
Board Certified, Internal Medicine - Cardiology
13 years in practice
508K people helped
Continue
108,000 doctors available
Read more answers from doctors