Effect of Venous Congestion on Worsening Renal Function in Decompensated Heart Failure Patients

El Shaarawy , Abdelbassit; Hassan , Adel Gamal; Emara , Ahmed Abdelmoniem; Abdelaziz , Haitham Ezzat

Article Details

Effect of Venous Congestion on Worsening Renal Function in Decompensated Heart Failure Patients

Authors:

El Shaarawy , Abdelbassit | Hassan , Adel Gamal | Emara , Ahmed Abdelmoniem | Abdelaziz , Haitham Ezzat

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2020 Vol.79 Issue 1, pp.509-518

Document Type:

Article

Publication Date:

4/2020

Document Language:

English

Document ID (Org No.):

146409

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

Abstract:

 Background: Cardiorenal syndrome has been defined as the simultaneous dysfunction of both the heart and the kidney. In this setting, worsening renal function (WRF) is a common finding.Objective: The aim of work was to determine whether venous congestion, rather than impairment of cardiac output, is associated with the development of WRF in patients with decompensated heart failure (DHF).Patients and Methods: This observational prospective study included a total of 30 adult Egyptians patients with DHF, attending at Ain Shams University Hospitals. Inclusion criteria: 1. Left ventricular ejection fraction < 50%. 2. CVP > 10 mmHg. 3. Right ventricular systolic pressure > 40 mmHg. ECHO was done for all subjects. Follow up of s. creatinine, GFR with MDRD equation, CVP, MABP and body weight were done daily for a week.Results: At follow up, 11 (36.7%) subjects developed WRF and 19 (63.3%) did not. that there was an incremental risk in WRF with increasing baseline CVP, as it appears to be a near linear relationship, because if the baseline CVP reached >19 or > 24 mmHg, we observed a sharp increase in the incidence of WRF approaching 51% and 71%, respectively. Furthermore, the mean baseline CVP was higher in subjects who developed WRF (26.2±3.3 mmHg) versus those who did not (18.1±1.9 mmHg) ( p<0.001).We have also noticed that baseline EF was significantly lower in subjects who developed WRF .We also noticed that Subjects who developed WRF had lower eGFR at baseline.Conclusions: It could be concluded that in the setting of DHF, venous congestion (high CVP) may be the most important driving factor of WRF rather than low COP.

Article Details

Effect of Venous Congestion on Worsening Renal Function in Decompensated Heart Failure Patients

Authors:

El Shaarawy , Abdelbassit | Hassan , Adel Gamal | Emara , Ahmed Abdelmoniem | Abdelaziz , Haitham Ezzat

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2020 Vol.79 Issue 1, pp.509-518

Document Type:

Article

Publication Date:

4/2020

Document Language:

English

Document ID (Org No.):

146409

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

RENAL FUNCTIONS

HEART FAILURE

HOSPITALS

PATIENTS

EGYPT

Heart Failure

Renal Function

Kidney

Hemodynamic

Venous Congestion

Issues

Article Details

Authors: El Shaarawy , Abdelbassit | Hassan , Adel Gamal | Emara , Ahmed Abdelmoniem | Abdelaziz , Haitham Ezzat

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2020 Vol.79 Issue 1, pp.509-518

Document Type: Article

Publication Date: 4/2020

Document Language: English

Document ID (Org No.): 146409

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

Issues

Authors:

El Shaarawy , Abdelbassit | Hassan , Adel Gamal | Emara , Ahmed Abdelmoniem | Abdelaziz , Haitham Ezzat

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2020 Vol.79 Issue 1, pp.509-518

Document Type:

Article

Publication Date:

4/2020

Document Language:

English

Document ID (Org No.):

146409

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002