Evaluation of kidney function throughout the heart failure trajectory - a position statement from the Heart Failure Association of the European Society of Cardiology

被引:255
|
作者
Mullens, Wilfried [1 ]
Damman, Kevin [2 ]
Testani, Jeffrey M. [3 ]
Martens, Pieter [1 ]
Mueller, Christian [4 ]
Lassus, Johan [5 ,6 ]
Tang, W. H. Wilson [7 ]
Skouri, Hadi [8 ]
Verbrugge, Frederik H. [9 ]
Orso, Francesco [10 ]
Hill, Loreena [11 ]
Dilek, Ural [12 ]
Lainscak, Mitcha [13 ]
Rossignol, Patrick [14 ,15 ,16 ,17 ]
Metra, Marco [18 ]
Mebazaa, Alexandre [19 ]
Seferovic, Petar [20 ]
Ruschitzka, Frank [21 ]
Coats, Andrew [22 ]
机构
[1] Univ Hasselt, Ziekenhuis Oost Limburg, Genk, Belgium
[2] Univ Groningen, Univ Med Ctr Groningen, Groningen, Netherlands
[3] Yale Univ, New Haven, CT USA
[4] Univ Basel, Basel, Switzerland
[5] Univ Helsinki, Cardiol Heart & Lung Ctr, Helsinki, Finland
[6] Helsinki Univ Hosp, Helsinki, Finland
[7] Cleveland Clin, Cleveland, OH 44106 USA
[8] Amer Univ Beirut, Med Ctr, Beirut, Lebanon
[9] Univ Hosp Leuven, Leuven, Belgium
[10] Univ Florence, Florence, Italy
[11] Queens Univ, Sch Nursing & Midwifery, Belfast, Antrim, North Ireland
[12] Koc Univ Istanbul, Istanbul, Turkey
[13] Univ Ljubljana, Ljubljana, Slovenia
[14] Univ Lorraine, INSERM, Ctr Invest Clin 1433, Nancy, France
[15] INSERM, U1116, Nancy, France
[16] CHRU Nancy, Nancy, France
[17] INI CRCT, F CRIN, Nancy, France
[18] Univ Brescia, Brescia, Italy
[19] Univ Paris Diderot, F CRIN INI CRCT, Paris, France
[20] Univ Belgrade, Belgrade, Serbia
[21] Univ Spital Zurich, Zurich, Switzerland
[22] IRCCS, San Raffaele Pisana, Rome, Italy
基金
美国国家卫生研究院;
关键词
Heart failure; Kidney function; Glomerular filtration; Tubular function; Biomarkers; Renal imaging; Worsening of renal function; Acute kidney injury; Diuretic response; Diuretic efficiency; Guidelines; Outcome; GLOMERULAR-FILTRATION-RATE; WORSENING RENAL-FUNCTION; CARDIAC-RESYNCHRONIZATION THERAPY; DISEASE EPIDEMIOLOGY COLLABORATION; SCANDINAVIAN-ENALAPRIL-SURVIVAL; GELATINASE-ASSOCIATED LIPOCALIN; REDUCED EJECTION FRACTION; BLOOD UREA NITROGEN; DIURETIC RESPONSE; MYOCARDIAL-INFARCTION;
D O I
10.1002/ejhf.1697
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Appropriate interpretation of changes in markers of kidney function is essential during the treatment of acute and chronic heart failure. Historically, kidney function was primarily assessed by serum creatinine and the calculation of estimated glomerular filtration rate. An increase in serum creatinine, also termed worsening renal function, commonly occurs in patients with heart failure, especially during acute heart failure episodes. Even though worsening renal function is associated with worse outcome on a population level, the interpretation of such changes within the appropriate clinical context helps to correctly assess risk and determine further treatment strategies. Additionally, it is becoming increasingly recognized that assessment of kidney function is more than just glomerular filtration rate alone. As such, a better evaluation of sodium and water handling by the renal tubules allows to determine the efficiency of loop diuretics (loop diuretic response and efficiency). Also, though neurohumoral blockers may induce modest deteriorations in glomerular filtration rate, their use is associated with improved long-term outcome. Therefore, a better understanding of the role of cardio-renal interactions in heart failure in symptom development, disease progression and prognosis is essential. Indeed, perhaps even misinterpretation of kidney function is a leading cause of not attaining decongestion in acute heart failure and insufficient dosing of guideline-directed medical therapy in general. This position paper of the Heart Failure Association Working Group on Cardio-Renal Dysfunction aims at improving insights into the interpretation of renal function assessment in the different heart failure states, with the goal of improving heart failure care.
引用
收藏
页码:584 / 603
页数:20
相关论文
共 50 条
  • [1] Advanced heart failure: a position statement of the Heart Failure Association of the European Society of Cardiology
    Crespo-Leiro, Maria G.
    Metra, Marco
    Lund, Lars H.
    Milicic, Davor
    Costanzo, Maria Rosa
    Filippatos, Gerasimos
    Gustafsson, Finn
    Tsui, Steven
    Barge-Caballero, Eduardo
    De Jonge, Nicolaas
    Frigerio, Maria
    Hamdan, Righab
    Hasin, Tal
    Huelsmann, Martin
    Nalbantgil, Sanem
    Potena, Luciano
    Bauersachs, Johann
    Gkouziouta, Aggeliki
    Ruhparwar, Arjang
    Ristic, Arsen D.
    Straburzynska-Migaj, Ewa
    McDonagh, Theresa
    Seferovic, Petar
    Ruschitzka, Frank
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2018, 20 (11) : 1505 - 1535
  • [2] The use of diuretics in heart failure with congestion - a position statement from the Heart Failure Association of the European Society of Cardiology
    Mullens, Wilfried
    Damman, Kevin
    Harjola, Veli-Pekka
    Mebazaa, Alexandre
    Brunner-La Rocca, Hans-Peter
    Martens, Pieter
    Testani, Jeffrey M.
    Tang, W. H. Wilson
    Orso, Francesco
    Rossignol, Patrick
    Metra, Marco
    Filippatos, Gerasimos
    Seferovic, Petar M.
    Ruschitzka, Frank
    Coats, Andrew J.
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2019, 21 (02) : 137 - 155
  • [3] Type 2 diabetes mellitus and heart failure: a position statement from the Heart Failure Association of the European Society of Cardiology
    Seferovic, Petar M.
    Petrie, Mark C.
    Filippatos, Gerasimos S.
    Anker, Stefan D.
    Rosano, Giuseppe
    Bauersachs, Johann
    Paulus, Walter J.
    Komajda, Michel
    Cosentino, Francesco
    de Boer, Rudolf A.
    Farmakis, Dimitrios
    Doehner, Wolfram
    Lambrinou, Ekaterini
    Lopatin, Yuri
    Piepoli, Massimo F.
    Theodorakis, Michael J.
    Wiggers, Henrik
    Lekakis, John
    Mebazaa, Alexandre
    Mamas, Mamas A.
    Tschoepe, Carsten
    Hoes, Arno W.
    Seferovic, Jelena P.
    Logue, Jennifer
    McDonagh, Theresa
    Riley, Jillian P.
    Milinkovic, Ivan
    Polovina, Marija
    van Veldhuisen, Dirk J.
    Lainscak, Mitja
    Maggioni, Aldo P.
    Ruschitzka, Frank
    McMurray, John J. V.
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2018, 20 (05) : 853 - 872
  • [4] Advanced chronic heart failure:: A position statement from the Study Group on Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology
    Metra, Marco
    Ponikowski, Piotr
    Dickstein, Kenneth
    McMurray, John J. V.
    Gavazzi, Antonello
    Bergh, Claes-Hakan
    Fraser, Alan G.
    Jaarsma, Tiny
    Pitsis, Antonis
    Mohacsi, Paul
    Boehm, Michael
    Anker, Stefan
    Dargie, Henry
    Brutsaert, Dirk
    Komajda, Michel
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2007, 9 (6-7) : 684 - 694
  • [5] Heart failure in cardiomyopathies: a position paper from the Heart Failure Association of the European Society of Cardiology
    Seferovic, Petar M.
    Polovina, Marija
    Bauersachs, Johann
    Arad, Michael
    Ben Gal, Tuvia
    Lund, Lars H.
    Felix, Stephan B.
    Arbustini, Eloisa
    Caforio, Alida L. P.
    Farmakis, Dimitrios
    Filippatos, Gerasimos S.
    Gialafos, Elias
    Kanjuh, Vladimir
    Krljanac, Gordana
    Limongelli, Giuseppe
    Linhart, Ales
    Lyon, Alexander R.
    Maksimovic, Ruzica
    Milicic, Davor
    Milinkovic, Ivan
    Noutsias, Michel
    Oto, Ali
    Oto, Oztekin
    Pavlovic, Sinisa U.
    Piepoli, Massimo F.
    Ristic, Arsen D.
    Rosano, Giuseppe M. C.
    Seggewiss, Hubert
    Asanin, Milika
    Seferovic, Jelena R.
    Ruschitzka, Frank
    Celutkiene, Jelena
    Jaarsma, Tiny
    Mueller, Christian
    Moura, Brenda
    Hill, Loreena
    Volterrani, Maurizio
    Lopatin, Yuri
    Metra, Marco
    Backs, Johannes
    Mullens, Wilfried
    Chioncel, Ovidiu
    de Boer, Rudolf A.
    Anker, Stefan
    Rapezzi, Claudio
    Coats, Andrew J. s
    Tschoepes, Carsten
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2019, 21 (05) : 553 - 576
  • [6] Palliative care in heart failure: a position statement from the palliative care workshop of the Heart Failure Association of the European Society of Cardiology
    Jaarsma, Tiny
    Beattie, James M.
    Ryder, Mary
    Rutten, Frans H.
    McDonagh, Theresa
    Mohacsi, Paul
    Murray, Scott A.
    Grodzicki, Thomas
    Bergh, Ingrid
    Metra, Marco
    Ekman, Inger
    Angermann, Christiane
    Leventhal, Marcia
    Pitsis, Antonis
    Anker, Stefan D.
    Gavazzi, Antonello
    Ponikowski, Piotr
    Dickstein, Kenneth
    Delacretaz, Etienne
    Blue, Lynda
    Strasser, Florian
    McMurray, John
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2009, 11 (05) : 433 - 443
  • [7] Response to letters on "The use of diuretics in heart failure with congestion - a position statement from the Heart Failure Association of the European Society of Cardiology"
    Mullens, Wilfried
    Damman, Kevin
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2019, 21 (07) : 949 - 950
  • [8] Advanced heart failure: Trans-Atlantic perspectives on the Heart Failure Association of the European Society of Cardiology position statement
    Greenberg, Barry
    Fang, James
    Mehra, Mandeep
    Stevenson, Lynne Warner
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2018, 20 (11) : 1536 - 1539
  • [9] Heart Failure Association/European Society of Cardiology position paper on frailty in patients with heart failure
    Vitale, Cristiana
    Jankowska, Ewa
    Hill, Loreena
    Piepoli, Massimo
    Doehner, Wolfram
    Anker, Stefan D.
    Lainscak, Mitja
    Jaarsma, Tiny
    Ponikowski, Piotr
    Rosano, Giuseppe M. C.
    Seferovic, Petar
    Coats, Andrew J.
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2019, 21 (11) : 1299 - 1305
  • [10] Natriuretic Peptides: Role in the Diagnosis and Management of Heart Failure: A Scientific Statement From the Heart Failure Association of the European Society of Cardiology, Heart Failure Society of America and Japanese Heart Failure Society
    Tsutsui, Hiroyuki
    Albert, Nancy M.
    Coats, Andrew J. S.
    Anker, Stefan D.
    Bayes-Genis, Antoni
    Butler, Javed
    Chioncel, Ovidiu
    Defilippi, Christopher R.
    Drazner, Mark H.
    Felker, G. Michael
    Filippatos, Gerasimos
    Fiuzat, Mona
    Ide, Tomomi
    Januzzi Jr, James L.
    Kinugawa, Koichiro
    Kuwahara, Koichiro
    Matsue, Yuya
    Mentz, Robertj
    Metra, Marco
    Pandey, Ambarish
    Rosano, Giuseppe
    Saito, Yoshihiko
    Sakata, Yasushi
    Sato, Naoki
    Seferovic, Petar M.
    Teerlink, John
    Yamamoto, Kazuhiro
    Yoshimura, Michihiro
    [J]. JOURNAL OF CARDIAC FAILURE, 2023, 29 (05) : 787 - 804