Kidney function changes in acute heart failure: a practical approach to interpretation and management.
decongestion
diuretic therapy
heart failure
intrarenal venous flow pattern
kidney venous congestion
Journal
Clinical kidney journal
ISSN: 2048-8505
Titre abrégé: Clin Kidney J
Pays: England
ID NLM: 101579321
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
29
12
2022
medline:
2
10
2023
pubmed:
2
10
2023
entrez:
2
10
2023
Statut:
epublish
Résumé
Worsening kidney function (WKF) is common in patients with acute heart failure (AHF) syndromes. Although WKF has traditionally been associated with worse outcomes on a population level, serum creatinine concentrations vary greatly during episodes of worsening heart failure, with substantial individual heterogeneity in terms of their clinical meaning. Consequently, interpreting such changes within the appropriate clinical context is essential to unravel the pathophysiology of kidney function changes and appropriately interpret their clinical meaning. This article aims to provide a critical overview of WKF in AHF, aiming to provide physicians with some tips and tricks to appropriately interpret kidney function changes in the context of AHF.
Identifiants
pubmed: 37779845
doi: 10.1093/ckj/sfad031
pii: sfad031
pmc: PMC10539207
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1587-1599Informations de copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the ERA.
Déclaration de conflit d'intérêts
J.N. is member of the CKJ editorial board. The other authors declare no conflicts of interest.
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