The Management of Heart Failure in Kidney and Urinary Tract Syndromes

• Main Authors: Yuri Lopatin, Andrew J Stewart Coats
• Format: Article
• Language: English
• Published: Barcaray International 2017-01-01
• Series: International Cardiovascular Forum Journal
• Subjects: Cardiology; Heart failure; Kidney disease; Guidelines
• Online Access: http://icfjournal.org/index.php/icfj/article/view/450/450

Kidney dysfunction and other related abnormalities are extremely common in all HF syndromes, both because of the similarity of risk factors and the similarity of demography of the two types of patients but also because of the common renal effects of agents used for the treatment of HF. Important renal syndromes for the HF patient include including chronic kidney disease, acute kidney injury, cardio-renal syndrome, and prostatic obstruction. In HF (all types including HFrEF, HFmrEF and especially HFpEF) chronic kidney disease (CKD) frequently co-exists and almost as frequently complicates the HF management. The two groups of syndromes share many risk factors (diabetes, hypertension, hyperlipidaemia) and often interact to worsen the prognosis of each other in a way that makes the patient with combined HF and renal disease at extremely high risk. This article reviews this common co-morbidity and how to manage it.