The DOI matches its Crossref record; 159 of the 159 references it cites were found in a registry or an index.
Evaluation of Kidney Function Throughout the Heart Failure Trajectory – A Position Statement from the Heart Failure Association of the European Society of Cardiology
Open accessAbstract
Appropriate interpretation of changes in markers of kidney function is essential during the treatment of acute and chronic heart failure. Historically, kidney function was primarily assessed by serum creatinine and the calculation of estimated glomerular filtration rate. An increase in serum creatinine, also termed worsening renal function, commonly occurs in patients with heart failure, especially during acute heart failure episodes. Even though worsening renal function is associated with worse outcome on a population level, the interpretation of such changes within the appropriate clinical context helps to correctly assess risk and determine further treatment strategies. Additionally, it is becoming increasingly recognized that assessment of kidney function is more than just glomerular filtration rate alone. As such, a better evaluation of sodium and water handling by the renal tubules allows to determine the efficiency of loop diuretics (loop diuretic response and efficiency). Also, though neurohumoral blockers may induce modest deteriorations in glomerular filtration rate, their use is associated with improved long-term outcome. Therefore, a better understanding of the role of cardio–renal interactions in heart failure in symptom development, disease progression and prognosis is essential. Indeed, perhaps even misinterpretation of kidney function is a leading cause of not attaining decongestion in acute heart failure and insufficient dosing of guideline-directed medical therapy in general. This position paper of the Heart Failure Association Working Group on Cardio-Renal Dysfunction aims at improving insights into the interpretation of renal function assessment in the different heart failure states, with the goal of improving heart failure care.
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Citations
Cites
A New Equation to Estimate Glomerular Filtration Rate
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Self-citationChronic kidney disease and the risks of death, cardiovascular events, and hospitalization
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Cited by
2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure
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Self-citation2023 ESC guidelines for the management of cardiovascular disease in patients with diabetes.
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Metadata
- Authors
- Mullens, W., Damman, K., Testani, J. M., Martens, P., Mueller, C., Lassus, J., Tang, W. H. W., Skouri, H., Verbrugge, F. H., Orso, F., Hill, L., Ural, D., Lainscak, M., Rossignol, P., Metra, M., Mebazaa, A., Seferovic, P., Ruschitzka, F., & Coats, A.
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-01-07
- Volume
- 22
- Issue
- 4
- Pages
- 584-603
- ISSN
- 1388-9842 (ISSN-L)
- 1879-0844
- OpenAlex
- W3000607175
- Cited by
- 411
- References
- 159
- FWCI
- 31.98
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Mullens, W., Damman, K., Testani, J. M., Martens, P., Mueller, C., Lassus, J., Tang, W. H. W., Skouri, H., Verbrugge, F. H., Orso, F., Hill, L., Ural, D., Lainscak, M., Rossignol, P., Metra, M., Mebazaa, A., Seferovic, P., Ruschitzka, F., & Coats, A. (2020). Evaluation of Kidney Function Throughout the Heart Failure Trajectory – A Position Statement from the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure. https://doi.org/10.1002/ejhf.1697
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