Decompensated heart failure (HF) is associated with decline in renal function due
partially to renal congestion,
1
and optimal volume control by means of diuresis can prevent this. Also, chronic kidney
disease (CKD) is an independent risk factor for cardiovascular disease. The prevalence
of congestive heart failure (HF) increases as a patient's renal function deteriorates.
In the Atherosclerosis Risk in Communities (ARIC) study, the incidence of HF was 3-fold
higher if the estimated glomerular filtration rate (eGFR) was <60 mL/min/1.73 m2 compared with the reference group that had an eGFR ≥90 mL/min/1.73 m2;
2
hence, it is expected that a patient with worse kidney functions would have higher
diuretic requirements due to associated worse left ventricular function.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Cardiac FailureAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Renal dysfunction in heart failure is due to congestion but not low output.Clin Cardiol. 2011; 34: 113-116
- Reduced kidney function as a risk factor for incident heart failure: the Atherosclerosis Risk in Communities (ARIC) study.J Am Soc Nephrol. 2007; 18: 1307-1315
- Cardiovascular disease in chronic kidney disease: a clinical update from Kidney Disease: Improving Global Outcomes (KDIGO).Kidney Int. 2011; 80: 572-586
- Effects of exercise training on health status in patients with chronic heart failure: HF-ACTION randomized controlled trial.JAMA. 2009; 301: 1451-1459
- Testing for chronic kidney disease: a position statement from the National Kidney Foundation.Am J Kidney Dis. 2007; 50: 169-180
Article info
Publication history
Accepted:
May 12,
2021
Received in revised form:
April 28,
2021
Received:
March 26,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
