title: The genetic determinants of renal impairment following cardiac surgery.
abstract: Cardiac surgery is frequently performed, and acute renal dysfunction is a common adverse event following this procedure. Cardiac surgery-related renal injury independently predicts longer hospital stays and greater rates of morbidity and mortality. Although much work has been completed toward better understanding of this phenomenon, the state of knowledge concerning surgery-related renal injury remains limited. Currently, there is no effective paradigm to identify patients who are at risk for this condition; the specific mechanisms of renal injury during surgery are incompletely understood; and few therapies exist to prevent or treat this phenomenon. To better understand this common clinical problem, recent research has focused on the importance of genetic variability within the physiological and patho-physiological systems that underlie renal dysfunction following cardiac surgery. Emphasizing the importance of using genetics to elucidate molecular mechanisms of this disease, this article reviews the current literature on genetic polymorphisms and post cardiac surgery-related renal dysfunction.
authors.affiliation: Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA.
authors.forename: Robert B
authors.initials: RB
authors.lastname: Yates
authors.forename: Mark
authors.initials: M
authors.lastname: Stafford-Smith
mesh_terms: D000208:Acute Disease; D000818:Animals; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003404:Creatinine / Q000097:blood; D006801:Humans; D007249:Inflammation / Q000235:genetics; D007674:Kidney Diseases / Q000235:genetics* / Q000503:physiopathology; D011110:Polymorphism, Genetic / Q000502:physiology; D012084:Renin-Angiotensin System / Q000235:genetics / Q000502:physiology
chemical_list: D003404:Creatinine