Introduction: Chronic kidney disease (CKD) is associated with poor outcome in patients with heart
failure (HF), but little is known about the prognostic value of urine results in these
patients. We therefore investigated the relationship between urine results and the
prognosis of hospitalized patients with HF. Methods: We retrospectively reviewed the database of the Cardiovascular Center of Toranomon
Hospital, Japan and enrolled 128 consecutive patients who admitted with their first
presentation of acute decompensated HF. Urine results were available in 76 patients
between discharge and the first visits. We assessed the predictive value of hematuria
for one-year mortality in addition to the renal function among these patients. Results: Ten patients (13%) had microscopic hematuria (++ or more) between discharge and the
first visits. One-year mortality of the patients with microscopic hematuria was higher
than those without (P = .029). In multivariate analysis including estimated glomerular filtration rate
at discharge, age, and left ventricular ejection fraction, the predictive value of
hematuria for the mortality remained significant (P = .017). Conclusions: Microscopic hematuria could predict the prognosis in patients with heart failure
after discharge.
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