1. New renal haemodynamic indices can predict worsening of renal function in acute decompensated heart failure
- Author
-
Karim Said, Magdy Abdelhamid, Ahmed Elsayed Eltawil, Amir Mostafa, and Walid Ammar
- Subjects
Male ,medicine.medical_specialty ,Acute decompensated heart failure ,medicine.medical_treatment ,Hemodynamics ,Renal function ,030204 cardiovascular system & hematology ,Kidney ,Ventricular Function, Left ,03 medical and health sciences ,0302 clinical medicine ,Refractory ,Internal medicine ,medicine ,Diseases of the circulatory (Cardiovascular) system ,Humans ,030212 general & internal medicine ,Aged ,Heart Failure ,Worsening of renal function ,Intrarenal Doppler ultrasound ,Ejection fraction ,business.industry ,Stroke Volume ,Middle Aged ,medicine.disease ,RC666-701 ,Heart failure ,Acute Disease ,Cardiology ,Female ,Diuretic ,Cardiology and Cardiovascular Medicine ,business ,Complication - 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
- 2019