12. Cardiorenal syndrome in patients with acute heart failure and relationship with mortality rate after treatment
Main Article Content
Abstract
Cardiorenal syndrome (CRS) type I is characterized as the development of acute kidney injury (AKI) in patients with acute heart failure, which increases mortality and treatment time. Early diagnosis of CRS is essential. This retrospective study was conducted in 198 patients with acute heart failure to determine the incidence and prognostic value of CRS during the treatment using KDIGO criteria (2012) for acute kidney injury. The average age of the patients was 66.6 ± 15.7. The rate of acute kidney injury was 36.87%. Most acute kidney injury was mild (AKI grade I accounted for 87.67%). During treatment, 12 patients (6.06%) with acute heart failure died. Mann - Whitney test and Cox regression model showed that CRS type I was associated with prolonged treatment duration but did not increase mortality in patients with acute heart failure during treatment (HR = 1.3; 95%CI: 0.4 - 4.05; p = 0.653).
Article Details
Keywords
cardiorenal syndrome, acute heart failure, acute kidney injury
References
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18. Đặng Văn Phúc PMT. Mối liên quan giữa thiếu máu nhược sắc với tỷ lệ tử vong và tái nhập viện ở bệnh nhân suy tim cấp. Luận văn bác sỹ nội trú, Trường Đại học Y Hà Nội; 2021.
19. Vũ Quỳnh Nga, Trần Thanh Hoa, Nguyễn Văn Sơn. Mô tả đặc điểm lâm sàng, cận lâm sàng, thực trạng điều trị bệnh nhân suy tim cấp nhập viện tại Bệnh viện Tim Hà Nội. Tạp chí Phẫu Thuật Tim mạch và Lồng ngực Việt Nam. 2021;07:233 - 242.
20. Cowie MR, Komajda M, Murray-Thomas T, Underwood J, Ticho B, Investigators obotP. Prevalence and impact of worsening renal function in patients hospitalized with decompensated heart failure: Results of the prospective outcomes study in heart failure (POSH). European Heart Journal. 2006;27(10):1216-1222. doi: 10.1093/eurheartj/ehi859 %J European Heart Journal.
21. Metra M, Davison B, Bettari L, et al. Is worsening renal function an ominous prognostic sign in patients with acute heart failure? The role of congestion and its interaction with renal function. Circ Heart Fail. 2012;5(1):54-62.
2. Li Z, Cai L, Liang X, et al. Identification and Predicting Short-Term Prognosis of Early Cardiorenal Syndrome Type 1: KDIGO Is Superior to RIFLE or AKIN. PLoS ONE. 2014;9(12):e114369. doi: 10.1371/journal.pone.0114369.
3. Bozkurt B, Coats AJS, Tsutsui H, et al. Universal definition and classification of heart failure: A report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure: Endorsed by the Canadian Heart Failure Society, Heart Failure Association of India, Cardiac Society of Australia and New Zealand, and Chinese Heart Failure Association. Eur J Heart Fail. Mar 2021;23(3):352-380. doi: 10.1002/ejhf.2115.
4. Smith GL, Lichtman JH, Bracken MB, et al. Renal impairment and outcomes in heart failure: systematic review and meta-analysis. Journal of the American College of Cardiology. 2006;47(10):1987-1996.
5. Vandenberghe W, Gevaert S, Kellum JA, et al. Acute kidney injury in cardiorenal syndrome type 1 patients: A systematic review and meta-analysis. Cardiorenal Medicine. 2016;6(2):116-128. doi: 10.1159/000442300.
6. McCallum W, Tighiouart H, Testani JM, et al. Acute Kidney Function Declines in the Context of Decongestion in Acute Decompensated Heart Failure. JACC Heart Fail. 2020;8(7):537-547. doi: 10.1016/j.jchf.2020.03.009.
7. Đạt LV. Hội chứng tim - thận cấp (type I) và mối liên quan với các biến cố tim mạch chính ở bệnh nhân nhồi máu cơ tim cấp có ST chênh lên. Trường Đại học Y Hà Nội; 2019.
8. Linh NK. Nghiên cứu đặc điểm lâm sàng và cận lâm sàng của hội chứng tim - thận ở bệnh nhân suy tim nặng. Trường Đại Học Y Hà Nội; 2014.
9. Mcdonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal. 2021;42(36):3599-3726. doi: 10.1093/eurheartj/ehab368.
10. Palevsky PM, Liu KD, Brophy PD, et al. KDOQI US Commentary on the 2012 KDIGO Clinical Practice Guideline for Acute Kidney Injury. American Journal of Kidney Diseases. 2013;61(5):649-672. doi: https://doi.org/10.1053/j.ajkd.2013.02.349.
11. Levey AS, Coresh J, Greene T, et al. Using standardized serum creatinine values in the modification of diet in renal disease study equation for estimating glomerular filtration rate. Ann Intern Med. Aug 15 2006;145(4):247-54. doi: 10.7326/0003-4819-145-4-200608150-00004.
12. Châu Ngọc Hoa, Giang Minh Nhật. Suy giảm chức năng thận trong suy tim cấp. Tạp chí Y học Thành phố Hồ Chí Minh. 2018;1(22):96-102.
13. Adams KF, Fonarow GC, Emerman CL, et al. Characteristics and outcomes of patients hospitalized for heart failure in the United States: Rationale, design, and preliminary observations from the first 100,000 cases in the Acute Decompensated Heart Failure National Registry (ADHERE). American Heart Journal. 2005;149(2):209-216. doi: https://doi.org/10.1016/j.ahj.2004.08.0050.
14. Chioncel O, Mebazaa A, Maggioni AP, et al. Acute heart failure congestion and perfusion status - impact of the clinical classification on in-hospital and long-term outcomes; insights from the ESC-EORP-HFA Heart Failure Long-Term Registry. 2019;21(11):1338-1352. doi: https://doi.org/10.1002/ejhf.1492.
15. Ahmad T, Jackson K, Rao VS, et al. Worsening Renal Function in Patients With Acute Heart Failure Undergoing Aggressive Diuresis Is Not Associated With Tubular Injury. Circulation. May 8 2018;137(19):2016-2028. doi: 10.1161/circulationaha.117.030112.
16. Breidthardt T, Socrates T, Drexler B, et al. Plasma neutrophil gelatinase-associated lipocalin for the prediction of acute kidney injury in acute heart failure. Critical Care. 2012;16(1):1-12.
17. Eren Z, Ozveren O, Buvukoner E, Kaspar E, Degertekin M, Kantarci G. A single-centre study of acute cardiorenal syndrome: incidence, risk factors and consequences. Cardiorenal medicine. 2012;2(3):168-176.
18. Đặng Văn Phúc PMT. Mối liên quan giữa thiếu máu nhược sắc với tỷ lệ tử vong và tái nhập viện ở bệnh nhân suy tim cấp. Luận văn bác sỹ nội trú, Trường Đại học Y Hà Nội; 2021.
19. Vũ Quỳnh Nga, Trần Thanh Hoa, Nguyễn Văn Sơn. Mô tả đặc điểm lâm sàng, cận lâm sàng, thực trạng điều trị bệnh nhân suy tim cấp nhập viện tại Bệnh viện Tim Hà Nội. Tạp chí Phẫu Thuật Tim mạch và Lồng ngực Việt Nam. 2021;07:233 - 242.
20. Cowie MR, Komajda M, Murray-Thomas T, Underwood J, Ticho B, Investigators obotP. Prevalence and impact of worsening renal function in patients hospitalized with decompensated heart failure: Results of the prospective outcomes study in heart failure (POSH). European Heart Journal. 2006;27(10):1216-1222. doi: 10.1093/eurheartj/ehi859 %J European Heart Journal.
21. Metra M, Davison B, Bettari L, et al. Is worsening renal function an ominous prognostic sign in patients with acute heart failure? The role of congestion and its interaction with renal function. Circ Heart Fail. 2012;5(1):54-62.