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Review
. 2019 Aug;37(3):297-305.
doi: 10.1016/j.ccl.2019.04.005. Epub 2019 May 14.

Acute Kidney Injury, Heart Failure, and Health Outcomes

Affiliations
Review

Acute Kidney Injury, Heart Failure, and Health Outcomes

Prakash S Gudsoorkar et al. Cardiol Clin. 2019 Aug.

Abstract

Acute kidney injury in acute decompensated heart failure leads to increased readmissions regardless of being transient or sustained at the time of discharge. Timely identification of acute kidney injury and worsening heart failure in patients with acute decompensated heart failure is of utmost importance to optimize different components of heart failure treatment. Acute kidney injury is a strong predictor of poor outcomes and early death in patients with pulmonary artery hypertension and acute right-sided heart failure. Extracorporeal ultrafiltration should not be used as an initial or alternative to diuretic therapy. It should be reserved for diuretic-resistant individuals.

Keywords: Acute decompensated heart failure (ADHF); Acute dialysis quality initiative (ADQI); Acute kidney injury (AKI); Cardiorenal syndrome (CRS); Congestive heart failure (CHF); Health outcomes; Heart failure (HF); Worsening renal function (WRF).

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