Kidney Function Changes in Acute Heart Failure: a Practical Approach to Interpretation and Management

Overview

Journal Clin Kidney J

Publisher Oxford University Press

Specialty Nephrology

Date 2023 Oct 2

PMID 37779845

Authors

Laura Fuertes Kenneally

Miguel Lorenzo

Gregorio Romero-Gonzalez

Marta Cobo

Gonzalo Nunez

Jose Luis Gorriz

Ana Garcia Barrios

Marat Fudim

Rafael de la Espriella

Julio Nunez

Affiliations

Soon will be listed here.

Abstract

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.

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