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Kidney function changes in acute heart failure: a practical approach to interpretation and management

Worsening kidney function (WKF) is common in patients with acute heart failure (AHF) syndromes. Although WKF has traditionally been associated with worse outcomes on a population level, serum creatinine concentrations vary greatly during episodes of worsening heart failure, with substantial individu...

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Autores principales: Kenneally, Laura Fuertes, Lorenzo, Miguel, Romero-González, Gregorio, Cobo, Marta, Núñez, Gonzalo, Górriz, Jose Luis, Barrios, Ana Garcia, Fudim, Marat, de la Espriella, Rafael, Núñez, Julio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539207/
https://www.ncbi.nlm.nih.gov/pubmed/37779845
http://dx.doi.org/10.1093/ckj/sfad031
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author Kenneally, Laura Fuertes
Lorenzo, Miguel
Romero-González, Gregorio
Cobo, Marta
Núñez, Gonzalo
Górriz, Jose Luis
Barrios, Ana Garcia
Fudim, Marat
de la Espriella, Rafael
Núñez, Julio
author_facet Kenneally, Laura Fuertes
Lorenzo, Miguel
Romero-González, Gregorio
Cobo, Marta
Núñez, Gonzalo
Górriz, Jose Luis
Barrios, Ana Garcia
Fudim, Marat
de la Espriella, Rafael
Núñez, Julio
author_sort Kenneally, Laura Fuertes
collection PubMed
description Worsening kidney function (WKF) is common in patients with acute heart failure (AHF) syndromes. Although WKF has traditionally been associated with worse outcomes on a population level, serum creatinine concentrations vary greatly during episodes of worsening heart failure, with substantial individual heterogeneity in terms of their clinical meaning. Consequently, interpreting such changes within the appropriate clinical context is essential to unravel the pathophysiology of kidney function changes and appropriately interpret their clinical meaning. This article aims to provide a critical overview of WKF in AHF, aiming to provide physicians with some tips and tricks to appropriately interpret kidney function changes in the context of AHF.
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spelling pubmed-105392072023-09-30 Kidney function changes in acute heart failure: a practical approach to interpretation and management Kenneally, Laura Fuertes Lorenzo, Miguel Romero-González, Gregorio Cobo, Marta Núñez, Gonzalo Górriz, Jose Luis Barrios, Ana Garcia Fudim, Marat de la Espriella, Rafael Núñez, Julio Clin Kidney J CKJ Review Worsening kidney function (WKF) is common in patients with acute heart failure (AHF) syndromes. Although WKF has traditionally been associated with worse outcomes on a population level, serum creatinine concentrations vary greatly during episodes of worsening heart failure, with substantial individual heterogeneity in terms of their clinical meaning. Consequently, interpreting such changes within the appropriate clinical context is essential to unravel the pathophysiology of kidney function changes and appropriately interpret their clinical meaning. This article aims to provide a critical overview of WKF in AHF, aiming to provide physicians with some tips and tricks to appropriately interpret kidney function changes in the context of AHF. Oxford University Press 2023-02-20 /pmc/articles/PMC10539207/ /pubmed/37779845 http://dx.doi.org/10.1093/ckj/sfad031 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the ERA. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle CKJ Review
Kenneally, Laura Fuertes
Lorenzo, Miguel
Romero-González, Gregorio
Cobo, Marta
Núñez, Gonzalo
Górriz, Jose Luis
Barrios, Ana Garcia
Fudim, Marat
de la Espriella, Rafael
Núñez, Julio
Kidney function changes in acute heart failure: a practical approach to interpretation and management
title Kidney function changes in acute heart failure: a practical approach to interpretation and management
title_full Kidney function changes in acute heart failure: a practical approach to interpretation and management
title_fullStr Kidney function changes in acute heart failure: a practical approach to interpretation and management
title_full_unstemmed Kidney function changes in acute heart failure: a practical approach to interpretation and management
title_short Kidney function changes in acute heart failure: a practical approach to interpretation and management
title_sort kidney function changes in acute heart failure: a practical approach to interpretation and management
topic CKJ Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539207/
https://www.ncbi.nlm.nih.gov/pubmed/37779845
http://dx.doi.org/10.1093/ckj/sfad031
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