Renal kinetics in acute heart failure
| Autor: | Chau Ngoc-Hoa, Nguyen Hai H, Giang Nhat M |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
lcsh:Diseases of the circulatory (Cardiovascular) system 030232 urology & nephrology 030204 cardiovascular system & hematology Kidney Severity of Illness Index chemistry.chemical_compound 0302 clinical medicine Prospective Studies Stage (cooking) Aged 80 and over Incidence Acute kidney injury Middle Aged Prognosis Hospitalization Vietnam Creatinine Cohort Acute Disease Disease Progression Female Kidney Diseases Cardiology and Cardiovascular Medicine Glomerular Filtration Rate medicine.medical_specialty acute heart failure Renal function renal kinetics 03 medical and health sciences renal recovery Internal medicine medicine Humans Heart Failure and Cardiomyopathies Aged Heart Failure business.industry Recovery of Function medicine.disease Kinetics chemistry lcsh:RC666-701 Heart failure worsening renal function business Biomarkers Kidney disease |
| Zdroj: | Open Heart, Vol 7, Iss 1 (2020) Open Heart |
| ISSN: | 2053-3624 |
| Popis: | AimsWorsening renal function (WRF) in acute heart failure (AHF) has multifactorial pathophysiological mechanisms and heterogeneous prognostic impacts. The aim of this study was to determine the characteristics and renal kinetics of this phenomenon.Methods and resultsWe prospectively enrolled a cohort of 196 patients admitted for AHF to the Cardiology Department at Nhan Dan Gia Dinh Hospital, from July 2016 to March 2017. AHF was defined using the 2012 European Society of Cardiology criteria. The definition and severity of WRF were based on the 2012 Kidney Disease Improving Outcome criteria for acute kidney injury. Renal recovery was classified using the 2017 Acute Disease Quality Initiative 16 Workgroup Consensus. Among the 196 patients studied, WRF developed in 43.4%. In 80.0% of patients, WRF occurred within 48 hours of admission. In the WRF group, 89.4% were at stage 1, consistent with a relative increase in median serum creatinine of 49.5%. A total of 76.5% of the patients with WRF recovered at discharge, while rapid recovery occurred in 20.0% of patients.ConclusionsMost cases of WRF were mild, and WRF was correlated with a high rate of recovery during hospitalisation. However, rapid renal recovery was not common. |
| Databáze: | OpenAIRE |
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