Evaluation of kidney function throughout the heart failure trajectory - a position statement from the Heart Failure Association of the European Society of Cardiology
| العنوان: | Evaluation of kidney function throughout the heart failure trajectory - a position statement from the Heart Failure Association of the European Society of Cardiology |
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| المؤلفون: | Frederik H. Verbrugge, Mitcha Lainscak, Dilek Ural, Francesco Orso, Frank Ruschitzka, Loreena Hill, W.H. Wilson Tang, Andrew J.S. Coats, Wilfried Mullens, Kevin Damman, Christian Mueller, Petar M. Seferovic, Marco Metra, Pieter Martens, Patrick Rossignol, Alexandre Mebazaa, Jeffrey M. Testani, Johan Lassus, Hadi Skouri |
| المساهمون: | Cardiovascular Centre (CVC), University of Zurich, Mullens, Wilfried, Clinical sciences, Medicine and Pharmacy academic/administration, Cardiology, Intensive Care |
| المصدر: | European Journal of Heart Failure, 584-603. Wiley ISSUE=4;STARTPAGE=584;ENDPAGE=603;ISSN=1388-9842;TITLE=European Journal of Heart Failure |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Diuretic efficiency, medicine.drug_class, medicine.medical_treatment, Cardiology, Cardiac resynchronization therapy, heart failure, Renal function, 610 Medicine & health, Context (language use), Guidelines, 030204 cardiovascular system & hematology, Kidney, 2705 Cardiology and Cardiovascular Medicine, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, renal imaging, Internal medicine, Glomerular filtration, Tubular function, medicine, Humans, Diuretic response, Myocardial infarction, Fulminant macrophage activation syndrome in a patient with anti synthetase syndrome, Diuretics, kidney function, Worsening of renal function, Creatinine, business.industry, Acute kidney injury, Biomarkers, Heart failure, Kidney function, Outcome, Renal imaging, biomarkers, Loop diuretic, medicine.disease, 3. Good health, chemistry, Nephrology, outcome, 10209 Clinic for Cardiology, Cardiology and Cardiovascular Medicine, business, Glomerular Filtration Rate |
| الوصف: | Appropriate interpretation of changes in markers of kidney function is essential during the treatment of acute and chronic heart failure. Historically, kidney function was primarily assessed by serum creatinine and the calculation of estimated glomerular filtration rate. An increase in serum creatinine, also termed worsening renal function, commonly occurs in patients with heart failure, especially during acute heart failure episodes. Even though worsening renal function is associated with worse outcome on a population level, the interpretation of such changes within the appropriate clinical context helps to correctly assess risk and determine further treatment strategies. Additionally, it is becoming increasingly recognized that assessment of kidney function is more than just glomerular filtration rate alone. As such, a better evaluation of sodium and water handling by the renal tubules allows to determine the efficiency of loop diuretics (loop diuretic response and efficiency). Also, though neurohumoral blockers may induce modest deteriorations in glomerular filtration rate, their use is associated with improved long-term outcome. Therefore, a better understanding of the role of cardio-renal interactions in heart failure in symptom development, disease progression and prognosis is essential. Indeed, perhaps even misinterpretation of kidney function is a leading cause of not attaining decongestion in acute heart failure and insufficient dosing of guideline-directed medical therapy in general. This position paper of the Heart Failure Association Working Group on Cardio-Renal Dysfunction aims at improving insights into the interpretation of renal function assessment in the different heart failure states, with the goal of improving heart failure care. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1388-9842 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f310688d1187b1a7efd1a2e4f83177ed https://hdl.handle.net/11370/d8df538f-a64e-4b92-9b2c-5458078a837c |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f310688d1187b1a7efd1a2e4f83177ed |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13889842 |
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