Evaluation and Management of Kidney Dysfunction in Advanced Heart Failure: A Scientific Statement From the American Heart Association

被引：4
作者：
Tang, W. H. Wilson
Bakitas, Marie A.
Cheng, Xingxing S.
Fang, James C.
Fedson, Savitri E.
Fiedler, Amy G.
Martens, Pieter
Mccallum, Wendy I.
Ogunniyi, Modele O.
Rangaswami, Janani
Bansal, Nisha
机构：
来源：
CIRCULATION | 2024年 / 150卷 / 16期
关键词：
AHA Scientific Statements; heart failure; heart-assist devices; kidney diseases; kidney transplantation; renal replacement therapy; VENTRICULAR ASSIST DEVICE; MECHANICAL CIRCULATORY SUPPORT; RENAL REPLACEMENT THERAPY; ORGAN-TRANSPLANTATION; PERITONEAL-DIALYSIS; VENOUS CONGESTION; OUTCOMES; HEMODIALYSIS; CLASSIFICATION; PREVALENCE;
D O I：
10.1161/CIR.0000000000001273
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Early identification of kidney dysfunction in patients with advanced heart failure is crucial for timely interventions. In addition to elevations in serum creatinine, kidney dysfunction encompasses inadequate maintenance of sodium and volume homeostasis, retention of uremic solutes, and disrupted endocrine functions. Hemodynamic derangements and maladaptive neurohormonal upregulations contribute to fluctuations in kidney indices and electrolytes that may recover with guideline-directed medical therapy. Quantifying the extent of underlying irreversible intrinsic kidney disease is crucial in predicting whether optimization of congestion and guideline-directed medical therapy can stabilize kidney function. This scientific statement focuses on clinical management of patients experiencing kidney dysfunction through the trajectory of advanced heart failure, with specific focus on (1) the conceptual framework for appropriate evaluation of kidney dysfunction within the context of clinical trajectories in advanced heart failure, including in the consideration of advanced heart failure therapies; (2) preoperative, perioperative, and postoperative approaches to evaluation and management of kidney disease for advanced surgical therapies (durable left ventricular assist device/heart transplantation) and kidney replacement therapies; and (3) the key concepts in palliative care and decision-making processes unique to individuals with concomitant advanced heart failure and kidney disease.
引用
收藏
页码：e280 / e295
页数：16
相关论文
共 100 条
[21]   Lack of significant renal tubular injury despite acute kidney injury in acute decompensated heart failure [J].
Dupont, Matthias ;
Shrestha, Kevin ;
Singh, Dhssraj ;
Awad, Adiveh ;
Kovach, Cynthia ;
Scarcipino, Mario ;
Maroo, Anjli P. ;
Tang, W. H. Wilson .
EUROPEAN JOURNAL OF HEART FAILURE, 2012, 14 (06) :597-604
[22]   Role and Contribution of the General Heart Failure Cardiologist: Further Expansion of the Multidisciplinary Heart Failure Approach [J].
Echols, Melvin R. ;
Ogunniyi, Modele O. .
JOURNAL OF CARDIAC FAILURE, 2022, 28 (04) :659-663
[23]   Fluctuations in Serum Creatinine Levels During Hospitalization and Long-Term End-Stage Kidney Disease and Mortality [J].
Efros, Orly ;
Beckerman, Pazit ;
Basson, Ayelet A. ;
Cohen, Roy ;
Klang, Eyal ;
Nir, Yael Frenkel ;
Soffer, Shelly ;
Barda, Noam ;
Grossman, Ehud .
JAMA NETWORK OPEN, 2023, 6 (08) :E2326996
[24]   Early planned institution of biventricular mechanical circulatory support results in improved outcomes compared with delayed conversion of a left ventricular assist device to a biventricular assist device [J].
Fitzpatrick, J. Raymond, III ;
Frederick, John R. ;
Hiesinger, William ;
Hsu, Vivian M. ;
McCormick, Ryan C. ;
Kozin, Elliott D. ;
Laporte, Carine M. ;
O'Hara, Mary Lou ;
Howell, Elan ;
Dougherty, Deborah ;
Cohen, Jeffrey E. ;
Southerland, Kevin W. ;
Howard, Jessica L. ;
Paulson, Carter ;
Acker, Michael A. ;
Morris, Rohinton J. ;
Woo, Y. Joseph .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 137 (04) :971-977
[25]   Outcomes Among Patients With Left Ventricular Assist Devices Receiving Maintenance Outpatient Hemodialysis: A Case Series [J].
Franz, Douglas D. ;
Hussein, Wael F. ;
Abra, Graham ;
Diskin, Charles D. ;
Duggal, Vishal ;
Teuteberg, Jeffrey J. ;
Chang, Tara, I ;
Schiller, Brigitte .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2021, 77 (02) :226-234
[26]   GFR Variability, Survival, and Cardiovascular Events in Older Adults [J].
Fravel, Michelle A. ;
Ernst, Michael E. ;
Webb, Katherine L. ;
Wetmore, James B. ;
Wolfe, Rory ;
Woods, Robyn L. ;
Reid, Christopher M. ;
Chowdhury, Enayet ;
Murray, Anne M. ;
Polkinghorne, Kevan R. .
KIDNEY MEDICINE, 2023, 5 (02)
[27]   Combined Heart-Kidney Transplant Versus Sequential Kidney Transplant in Heart Transplant Recipients [J].
Gallo, Michele ;
Trivedi, Jaimin R. ;
Schumer, Erin M. ;
Slaughter, Mark S. .
JOURNAL OF CARDIAC FAILURE, 2020, 26 (07) :574-579
[28]   Congestive kidney failure in cardiac surgery: the relationship between central venous pressure and acute kidney injury [J].
Gambardella, Ivancarmine ;
Gaudino, Mario ;
Ronco, Claudio ;
Lau, Christopher ;
Ivascu, Natalia ;
Girardi, Leonard N. .
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2016, 23 (05) :800-805
[29]   Complete Hemodynamic Profiling With Pulmonary Artery Catheters in Cardiogenic Shock Is Associated With Lower In-Hospital Mortality [J].
Garan, A. Reshad ;
Kanwar, Manreet ;
Thayer, Katherine L. ;
Whitehead, Evan ;
Zweck, Elric ;
Hernandez-Montfort, Jaime ;
Mahr, Claudius ;
Haywood, Jillian L. ;
Harwani, Neil M. ;
Wencker, Detlef ;
Sinha, Shashank S. ;
Vorovich, Esther ;
Abraham, Jacob ;
O'Neill, William ;
Burkhoff, Daniel ;
Kapur, Navin K. .
JACC-HEART FAILURE, 2020, 8 (11) :903-913
[30]   Characterization and prognostic value of persistent hyponatremia in patients with severe heart failure in the ESCAPE trial [J].
Gheorghiade, Mihai ;
Rossi, Joseph S. ;
Cotts, William ;
Shin, David D. ;
Hellkamp, Anne S. ;
Pina, Ileana L. ;
Fonarow, Gregg C. ;
DeMarco, Teresa ;
Pauly, Daniel F. ;
Rogers, Joseph ;
DiSalvo, Thomas G. ;
Butler, Javed ;
Hare, Joshua M. ;
Francis, Gary S. ;
Stough, Wendy Gattis ;
O'Connor, Christopher M. .
ARCHIVES OF INTERNAL MEDICINE, 2007, 167 (18) :1998-2005
12345678910