1. New renal haemodynamic indices can predict worsening of renal function in acute decompensated heart failure
- Author
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Amir Mostafa, Karim Said, Walid Ammar, Ahmed Elsayed Eltawil, and Magdy Abdelhamid
- Subjects
Acute decompensated heart failure ,Intrarenal Doppler ultrasound ,Worsening of renal function ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Aims Worsening of renal function (WRF) is a common complication in patients with acute decompensated heart failure (ADHF). We aimed to evaluate the role of intrarenal Doppler ultrasound (IRD) in the early prediction of WRF in this patient group. Methods and results Among 90 patients (age: 57.5 ± 11.1 years; 62% male) hospitalized with ADHF, resistivity index (RI), acceleration time (AT), and pulsatility index (PI) were measured on admission and at 24 and 72 h. WRF was defined as increased serum creatinine ≥0.3 mg/dL from baseline. Adverse clinical outcomes were defined as the composite of death, use of vasopressors, and need for ultrafiltration for refractory oedema. WRF developed in 40% of patients. Mean values of renal AT, RI, and PI on admission were 59.7 ± 15, 0.717 ± 0.08, and 1.5 ± 0.48 ms, respectively. At 24 h, there was significant decrease in AT (to 56.7 ± 10 ms, P = 0.02) and renal RI (to 0.732 ± 0.07; P
- Published
- 2020
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