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Development of cardiorenal syndrome in decompensated heart failure (Review)

Abstract

Decreased renal function is a prevalent risk factor for unfavorable prognosis in patients with stable and decopmensated heart failure (HF). This review covers epidemiology data and pathophysiology of cardiorenal interactions in stable and decompensated HF. A variety of worsening renal function mechanisms in decompensated HF has been discussed, including «pseudo-cardiorenal syndrome» due to iatrogenesis. The complexities in understating the rapid decrease of GFR and clinical decision making in patients with advanced decompensated HF have been noted.

About the Authors

D. Y. Shchekochikhin
Sechenov First Moscow State Medical University
Russian Federation


N. L. Kozlovskaya
Sechenov First Moscow State Medical University
Russian Federation


F. Y. Kopilov
Sechenov First Moscow State Medical University
Russian Federation


References

1. Мареев В.Ю., Даниелян М.О., Беленков Ю.Н. От имени рабочей группы исследования ЭПОХА-О-ХСН. Сравнительная характеристика больных с ХСН в зависимости от величины ФВ по результатам Российского многоцентрового исследования ЭПОХА-О-ХСН // Сердечная Недостаточность. 2006. № 7 (4). С. 164–171.

2. Мухин Н.А., Фомин В.В., Моисеев С.В. и др. Кардиоренальный синдром при ишемической болезни почек (атеросклеротической реноваскулярной гипертонии) // Тер. арх. 2008. № 80 (8). С. 30–38.

3. Тареев Е.М. Нефриты. М., 1958. 667 с.

4. Шутов A.M., Серов B.A. Кардиоренальный континуум или кардиоренальный синдром? // Клиническая нефрология. 2010. № 1. С. 44–48.

5. Adams K.F., Fonarow G.C., Emerman C.L. 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. Vol. 149 (2). P. 209–216.

6. Blankstein R., Bakris G.L. Renal hemodynamic changes in heart failure // Heart Failure Clinics. 2008. Vol. 4 (4). P. 411–423.

7. Butler J. Addressing the challenges of cardiorenal syndrome // Clevelend Clinic J Med. 2006. Vol. 73 (5). P. 485–491.

8. Butler J., Geisberg C., Howser R. et al. Relationship between renal function and left ventricular assist device use // Ann Thorac Surg. 2006. Vol. 81 (5). P. 1745–1751.

9. Cameron J.S., Moro H., Simmonds H.A. Uric Acid and the kidney // In: Oxford Textbook of Clinical Nephrology, Davison AM, Cameron S, Grunfeld JP (eds). 2nd edn.: Oxford University Press. 1998. P. 1159–73.

10. Chen H.H., Schrier R.W. Pathophysiology of volume overload in acute heart failure syndromes // American Journal of Medicine. 2006. Vol. 119 (12). S11–S16.

11. Cohn J.N., Levine T.B., Olivari M.T. et al. Plasma norepinephrine as a guide to prognosis in patients with chronic congestive heart failure // N Engl J Med. 1984. Vol. 311. P. 819–823.

12. Damman K., Navis G., Smilde T.D.J. et al. Decreased cardiac output, venous congestion and the association with renal impairment in patients with cardiac dysfunction // European Journal of Heart Failure. 2007. Vol. 9. P. 872–878.

13. Damman K., Navis G., Voors A.A. et al. Worsening renal function and prognosis in heart failure: systematic review and meta-analysis // J Card Fail. 2007. Vol. 13 (8). P. 599–608.

14. Dupont M., Shrestha K., Singh D. et al. Lack of significant renal tubular injury despite acute kidney injury in acute decompensated heart failure // European Journal of Heart Failure. 2012. Vol. 14. P. 597–604.

15. Fauchauld P. Effects of ultrafiltration on body fluid and transcapillary colloid osmotic gradient in hemodialysis patients, improvements in dialysis therapy // Contrib Nephrol 1989. Vol. 74. P. 170–175.

16. Firth J.D., Raine A.E., Ledingham J.G. Raised venous pressure: A direct cause of renal sodium retention in oedema? // Lancet. 1988. Vol. 1. P. 1033–1035.

17. Fonarow G.C., Abraham W.T., Albert N.M. et al. Influence of a performance-improvement initiative on quality of care for patients hospitalized with heart failure: results of the organized program to initiate lifesaving treatment in hospitalized patients with heart failure (OPTIMIZE-HF) // Archives of Internal Medicine. 2007. Vol. 167 (14). P. 1493–1502.

18. Forman D.E., Butler J., Wang Y. et-al. Incidence, predictors at admission, and impact of worsening renal function among patients hospitalized with heart failure // J Am Coll Cardiol. 2004. Vol. 43. P. 61–67.

19. Gheorghiade M., Zannad F., Sopko G. et al. Acute heart failure syndromes: current state and framework for future research // Circulation. 2005. Vol. 112. P. 3958–3968.

20. Gottlieb S.S., Abraham W., Butler J. et al. The prognostic importance of different definitions of worsening renal function in congestive heart failure // J. Card. Fail. 2002. Vol. 8. P. 136–141.

21. Harman P.K., Kron I.L., McLachlan H.D. et al. Elevated intra-abdominal pressure and renal function // Ann Surg. 1982. Vol. 196. P. 594–597.

22. Henry J.P., Gauer O.H., Reeves J.L. Evidence of the atrial location of receptors influencing urine flow // Circ Res. 1956. Vol. 4. P. 85–90.

23. Kirsch A.J., Kayton M., Hensle T.W. et al. Renal effects of CO2 insufflation: oliguria and acute renal dysfunction in a rat pneumoperitoneum model // Urology. 1994. Vol. 43. P. 453–459.

24. Kociol R., Rogers J., Shaw A. Organ cross talk in the critically ill: the heart and kidney // Blood Purif. 2009. Vol. 27 (4). P. 311–320.

25. Krumholz H., Chen Y., Vaccarino V. et al. Correlates and impact on outcomes of worsening renal function in patients> or =65 years of age with heart failure // American Journal of Cardiology. 2000. Vol. 85 (9). P. 1110–1113.

26. Levey A.S., Coresh J., Bolton K. et al. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease // Am J Kidney Dis. 2002. Vol. 39 (2). S. 1–266.

27. Ljungman S., Laragh J.H., Cody R.J. Role of the kidney in congestive heart failure. Relationship of cardiac index to kidney function // Drugs 1990. Vol. 9 (suppl 4). P. 10–24.

28. LuЕscher T.F., Spieker L.E., Ruschitzka F.T. et al. The management of hyperuricemia and gout in patients with heart failure // The European Journal of Heart Failure. 2002. Vol. 4. P. 403–410.

29. Mullens W., Abrahams Z., Francis G.S. et al. Prompt reduction in intraabdominal pressure following large-volume mechanical fluid removal improves renal insufficiency in refractory decompensated heart failure // Journal of Cardiac Failure. 2008. Vol. 14 (6). P. 508–514.

30. Mullens W., Abrahams Z., Francis G. et al. Importance of Venous Congestion for Worsening of Renal Function in Advanced Decompensated Heart Failure // J Am Coll Card. 2009. Vol. 53. P. 600–607.

31. Mullens W., Abrahams Z., Skouri H.N. et al. Elevated intraabdominal pressure in acute decompensated heart failure. A potential contributor to worsening renal function? // J Am Coll Card. 2008. Vol. 51 (3). P. 300–306.

32. Nohria A., Hasselblad V., Stebbins A. et al. Cardiorenal interactions–insights form the ESCAPE trial // J Am Coll Cardiol. 2007. Vol. 51. P. 1268 –74.

33. O'Meara E., Chong K.S., Gardner R.S. et al. The Modification of Diet in Renal Disease (MDRD) equations provide valid estimations of glomerular filtration rates in patients with advanced heart failure // European Journal of Heart Failure. 2006. Vol. 8 (1). P. 63–67.

34. Owan T.E., Hodge D.O., Herges R.M. et al. Secular trends in renal dysfunction in hospitalized heart failure patients // J Card Fail. 2006. Vol. 12. P. 257–262.

35. Ronco C., Haapio M., House A.A. et al. Cardiorenal syndrome // J. Am. Coll. Cardiol. 2008. Vol. 52 (19). P. 1527–1539.

36. Sarraf M., Masoumi A., Schrier R.W. Cardiorenal syndrome in acute decompensated heart failure // Clinical Journal of the American Society of Nephrology. 2009. Vol. 4 (12). P. 2013–2026.

37. Schrier R.W. Pathogenesis of sodium and water retention in high-output and low-output cardiac failure, nephrotic syndrome, cirrhosis, and pregnancy (1) // The New England Journal of Medicine. 1988. Vol. 319 (16). P. 1065–1072.

38. Schrier R.W. Body fluid volume regulation in health and disease: a unifying hypothesis // Annals of Internal Medicine. 1990. Vol. 113 (2). P. 155–159.

39. Schrier R.W. Role of diminished renal function in cardiovascular mortality: marker or pathogenetic factor? // Journal of the American College of Cardiology. 2006. Vol. 47 (1). P. 1–8.

40. Schrier R.W. Blood Urea Nitrogen and Serum Creatinine Not Married in Heart Failure // Circulation. Heart Failure. 2008. Vol. 1. P. 2–5.

41. Schrier R.W., Abraham W.T. Hormones and hemodynamics in heart failure // The New England Journal of Medicine. 1999. Vol. 341 (8). P. 577–585.

42. Schrier R.W., Berl T. Nonosmolar factors affecting renal water excretion (first of two parts) // The New England Journal of Medicine. 1975. Vol. 292 (2). P. 81–88.

43. Schrier R.W., Berl T. Nonosmolar factors affecting renal water excretion (second of two parts) // The New England Journal of Medicine. 1975. Vol. 292 (3). P. 141–145.

44. Schrier R.W., Berl T., Anderson R.J. Osmotic and nonosmotic control of vasopressin release // American Journal of Physiology. 1979. Vol. 236 (4). F. 321–332.

45. Schrier R.W., deWardener H.E. Tubular reabsorption of sodium ion: Influence of factors other than aldosterone and glomerular filtration rate // N Engl J Med. 1971. Vol. 285. P. 1292–1303.

46. Smith G.L., Lichtman J.H., Bracken M.B. et al. Renal impairment and outcomes in heart failure: systematic review and meta-analysis // J Am Coll Cardiol. 2006. Vol. 47 (10). P. 1987–1996.

47. Tavazzi L., Maggioni A.P., Lucci D. et al. Nationwide survey on acute heart failure in cardiology ward services in Italy // European Heart Journal. 2006. Vol. 27 (10). P. 1207–1215.

48. Testani J.M., Cappola T.P., Brensinger C.M. et al. Interaction Between Loop Diuretic-Associated Mortality and Blood Urea Nitrogen Concentration in Chronic Heart Failure // J. Am. Coll. Cardiol. 2011. Vol. 58. P. 375–382.

49. Vinson J.M., Rich M.W., Sperry J.C. et al. Early readmission of elderly patients with congestive heart failure // J Am Geriatr Soc. 1990. Vol. 38 (12). P. 1290–1295.

50. Zannad F., Mebazaa A., Juillière Y. et al. Clinical profile, contemporary management and one-year mortality in patients with severe acute heart failure syndromes: the EFICA study // European Journal of Heart Failure. 2006. Vol. 8 (7). P. 697–705.


Review

For citations:


Shchekochikhin D.Y., Kozlovskaya N.L., Kopilov F.Y. Development of cardiorenal syndrome in decompensated heart failure (Review). Nephrology and Dialysis. 2013;15(1):59-64. (In Russ.)

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