Current Understanding and Problems of Early Diagnosis of Cardiorenal Syndrome in Military Personnel: A Comprehensive Review

Authors

  • Usmanova Dilnoza Ulugbekovna Associate Professor of the Department of Nephrology, Hemodialysis and Kidney Transplantation, Center for the Development of Professional Qualifications of Medical Workers, Tashkent, Uzbekistan Author
  • Muxamedova Muyassar Gafurdjanovna Deputy Head for Academic and Scientific Affairs of Military Medical Institute of the University of Military Security and Defense of the Republic of Uzbekistan, Tashkent, Uzbekistan Author
  • Alimov Ulugbek Sadikovich Senior lecturer of the Department of Propaedeutics of Internal diseases No. 2, Tashkent State Medical University, Tashkent, Uzbekistan Author

DOI:

https://doi.org/10.55640/ijmm-05-04-12

Keywords:

Cardiorenal syndrome, military medicine, biomarkers

Abstract

Cardiorenal syndrome (hereinafter referred to as CRS) is a complex pathophysiological condition involving bidirectional dysfunction of the heart and kidneys, which has serious consequences in terms of the progression of cardiovascular diseases, increased mortality and increased health care costs. In military personnel, the prevalence and impact of cattle is of particular concern due to occupational risk factors, including high levels of chronic psychoemotional stress, irregular physical activity, sleep disorders, and exposure to various extreme conditions. This review examines current concepts of bovine cattle classification, pathophysiological mechanisms, and approaches to its early diagnosis, with a particular focus on its use in military medicine. Recent advances in biomarker research have identified promising early markers, including NT-proBNP, NGAL, KIM-1, and cystatin C, that may make it easier to detect subclinical organ damage before traditional indicators deviate from the norm. Additional factors such as post-traumatic stress disorder, combat participation, and operational stress need to be considered in the strategy for assessing risk in military populations. This review summarizes current data and highlights existing knowledge gaps that require further study, in particular regarding the validation of biomarker panels in military cohorts and the development of population-specific screening algorithms.

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References

Ronco C, Haapio M, House AA, Anavekar N, Bellomo R. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-39.

Ronco C, McCullough PA, Anker SD, Anand I, Aspromonte N, Bagshaw SM, et al. Cardio-renal syndromes: report from the consensus conference of the acute dialysis quality initiative. Eur Heart J. 2010;31(6):703-11.

Gembillo G, Visconti L, Giusti MA, Siligato R, Gallo A, Santoro D, et al. Cardiorenal syndrome: new pathways and novel biomarkers. Biomolecules. 2021;11(11):1581.

McCullough PA, Kellum JA, Haase M, Muller C, Damman K, Murray PT, et al. Pathophysiology of the cardiorenal syndromes: executive summary from the 11th ADQI consensus conference. Blood Purif. 2013;36(2):74-84.

Belyi DO, Koval OA, Tkachenko VI. Arterial hypertension in military personnel: prevalence, risk factors and features of the course. Ukr J Mil Med. 2024;5(1):23-31.

Petek BJ, Tso JV, Churchill TW, Guseh JS, Loomer G, Wasfy MM, et al. Cardiovascular health in tactical athletes: a review of epidemiology, risk assessment, and management strategies. J Am Coll Cardiol. 2025;85(12):1201-15.

Goh CY, Vizzi G, De Cal M, Ronco C. Cardiorenal syndrome: a complex series of combined heart/kidney disorders. Contrib Nephrol. 2011; 174:33-45.

Mullens W, Abrahams Z, Francis GS, Sokos G, Taylor DO, Starling RC, et al. Importance of venous congestion for worsening of renal function in advanced decompensated heart failure. J Am Coll Cardiol. 2009;53(7):589-96.

Ronco C, Cicoira M, McCullough PA. Cardiorenal syndrome type 1: pathophysiological crosstalk leading to combined heart and kidney dysfunction in the setting of acutely decompensated heart failure. J Am Coll Cardiol. 2012;60(12):1031-42.

Lekawanvijit S, Kompa AR, Wang BH, Kelly DJ, Krum H. Cardiorenal syndrome: the emerging role of protein-bound uremic toxins. Circ Res. 2012;111(11):1470-83.

Regenburgh De La Motte L, Bassani B, Trepiccione F, Capasso G, Bruno A, Ambrosio G. Preclinical models of cardio-renal syndrome: a systematic review. Am J Physiol Cell Physiol. 2025;329(6).

Rangaswami J, Bhalla V, Blair JEA, Chang TI, Costa S, Lentine KL, et al. Cardiorenal syndrome: classification, pathophysiology, diagnosis, and treatment strategies. J Am Coll Cardiol. 2019;73(15):1934-48.

Hatamizadeh P, Fonarow GC, Budoff MJ, Darabian S, Kovesdy CP, Kalantar-Zadeh K. Cardiorenal syndrome: pathophysiology and potential targets for clinical management. Nat Rev Nephrol. 2013;9(2):99-111.

Weir M, Iapoce C. Matthew Weir, MD: prioritizing cardiovascular risk in chronic kidney disease. HCPLive. 2024.

Díaz GEJ, Sánchez AR, Santibañez SV, Regules SS. Cardio-renal metabolic syndrome: pathogenic mechanisms. Acta Med. 2025;23(4):361-6.

Damman K, van Deursen VM, Navis G, Voors AA, van Veldhuisen DJ, Hillege HL. Increased central venous pressure is associated with impaired renal function and mortality in a broad spectrum of patients with cardiovascular disease. J Am Coll Cardiol. 2009;53(7):582-8.

Vasquez F, Tiscornia C, Lorca-Ponce E, Aicardi V, Vasquez S. Cardiorenal syndrome: molecular pathways linking cardiovascular dysfunction and chronic kidney disease progression. Int J Mol Sci. 2025;26(15):7440.

Aletras GA, Bairaktari A, Ntalianis A, Christou K, Tellis C, Tselepis AD, et al. Integrating novel biomarkers into clinical practice: a practical framework for diagnosis and management of cardiorenal syndrome. Life. 2025;15(10):1540.

Zhao Y, Wang H, Li X, Zhang L. Pathophysiological mechanisms of cardiorenal syndrome: from inflammation to fibrosis. Front Cardiovasc Med. 2025;12:112-24.

Clark JM, Sanders S, Carter M, Honeyman D, Cleo G, Auld Y, et al. Improving the translation of search strategies using the Polyglot Search Translator: a randomized controlled trial. J Med Libr Assoc. 2020;108(2):195-207.

Ouatu A, Buliga-Finiș ON. Comprehensive management strategies for cardiovascular-kidney-metabolic syndrome. In: Floria M, Tanase DM, editors. Cardiovascular-Kidney-Metabolic Syndrome. Cham: Springer; 2025.

Khudyakova AD. Clinical and prognostic significance of cardiorenal interactions and biomarkers in chronic heart failure [dissertation]. Saint Petersburg; 2021.

Palmieri G, D'Amato M, Grimaldi MC, Ronco C, et al. Cardionephrology: from theory to clinical practice in the management of cardiorenal syndrome. J Am Coll Cardiol. 2025;85(6):721-35.

Gawron BM, Żyśko B, Gajek J, Skoczyński P, Witkowski A. Prevalence of cardiovascular disease risk factors among military senior officers -- an epidemiological analysis and preventive implications. Lek Wojsk. 2025;103(3):228-33.

Sobolev VI, Gorbanev AY, Grishin SA, et al. Professional stress and cardiovascular risk in naval specialists. Mar Med. 2021;7(3):45-53.

Kryukov EV, Potekhin NP, Fursov AN, et al. Cardiovascular risk factors in military personnel serving in the Arctic region. Mil Med J. 2021;342(5):4-11.

Martin Army Community Hospital. Preventive medicine programs: annual health assessments for military personnel. Fort Moore (GA): Martin Army Community Hospital; 2024.

Chinese Consensus Report on the assessment and management of obstructive sleep apnea in patients with cardiovascular disease: 2024 edition. Sleep Med. 2025; 126:248-59.

Fiuza-Luces C, Santos-Lozano A, Joyner M, Carrera-Bastos P, Picazo O, Zugaza JL, et al. Exercise benefits in cardiovascular disease: beyond attenuation of traditional risk factors. Nat Rev Cardiol. 2018;15(12):731-43.

Bakris GL, Agarwal R, Anker SD, Pitt B, Ruilope LM, Rossing P, et al. Effect of finerenone on chronic kidney disease outcomes in type 2 diabetes. N Engl J Med. 2020;383(23):2219-29.

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Published

2026-04-28

How to Cite

Usmanova Dilnoza Ulugbekovna, Muxamedova Muyassar Gafurdjanovna, & Alimov Ulugbek Sadikovich. (2026). Current Understanding and Problems of Early Diagnosis of Cardiorenal Syndrome in Military Personnel: A Comprehensive Review. International Journal of Modern Medicine, 5(04), 90-98. https://doi.org/10.55640/ijmm-05-04-12

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