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Albuminuria Is Independently Associated With Cardiac Remodeling, Abnormal Right and Left Ventricular Function, and Worse Outcomes in Heart Failure With Preserved Ejection Fraction

Katz, Daniel H., Burns, Jacob A., Aguilar, Frank G., Beussink, Lauren, Shah, Sanjiv J.·2014·JACC: Heart Failure
DOI 10.1016/j.jchf.2014.05.016PMC PMC4256131
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  • Endothelial dysfunction, inflammation and CKD in HFpEF can underlie the development of microalbuminuria, which is correlated with greater cardiac dysfunction and congestion, along with higher risk for HF hospitalization or death.

    “Endothelial dysfunction, inflammation and CKD in HFpEF can underlie the development of microalbuminuria, which is correlated with greater cardiac dysfunction and congestion, along with higher risk for HF hospitalization or death10–12.”

    From Effects of tirzepatide on circulatory overload and end-organ damage in heart failure with preserved ejection fraction and obesity: a secondary analysis of the SUMMIT trial (2025) · cites this paper as [10]

    The Discussion links albuminuria in HFpEF to possible inflammation and endothelial dysfunction, and the Results associate higher UACR with CKD, cardiac dysfunction, and higher BNP. The Results also associate higher UACR with cardiovascular hospitalization (including HF hospitalization) or death. They do not establish that CKD causes microalbuminuria, directly demonstrate greater congestion, or report HF hospitalization or death as a separate endpoint. (LLM, conf=0.84)

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Research works printed but not linked: 36

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  3. Deckert, 1996, Cohort study of predictive value of urinary albumin excretion for atherosclerotic vascular disease in patients with insulin dependent diabetes, BMJ, 312, 871, 10.1136/bmj.312.7035.871 · DOI
  4. Miettinen, 1996, Proteinuria predicts stroke and other atherosclerotic vascular disease events in nondiabetic and non-insulin-dependent diabetic subjects, Stroke, 27, 2033, 10.1161/01.STR.27.11.2033 · DOI
  5. Solomon, 2007, Influence of albuminuria on cardiovascular risk in patients with stable coronary artery disease, Circulation, 116, 2687, 10.1161/CIRCULATIONAHA.107.723270 · DOI
  6. Jackson, 2009, Albuminuria in chronic heart failure: prevalence and prognostic importance, Lancet, 374, 543, 10.1016/S0140-6736(09)61378-7 · DOI
  7. Jackson, 2011, Associations of albuminuria in patients with chronic heart failure: findings in the ALiskiren Observation of heart Failure Treatment study, Eur J Heart Fail, 13, 746, 10.1093/eurjhf/hfr031 · DOI
  8. Masson, 2010, Prevalence and prognostic value of elevated urinary albumin excretion in patients with chronic heart failure: data from the GISSI-Heart Failure trial, Circ Heart Fail, 3, 65, 10.1161/CIRCHEARTFAILURE.109.881805 · DOI
  9. Miura, 2012, Urinary albumin excretion in heart failure with preserved ejection fraction: an interim analysis of the CHART 2 study, Eur J Heart Fail, 14, 367, 10.1093/eurjhf/hfs001 · DOI
  10. Brouwers, 2013, Incidence and epidemiology of new onset heart failure with preserved vs. reduced ejection fraction in a community-based cohort: 11-year follow-up of PREVEND, Eur Heart J, 34, 1424, 10.1093/eurheartj/eht066 · DOI · Paper page
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  13. Akiyama, 2012, Incremental prognostic significance of peripheral endothelial dysfunction in patients with heart failure with normal left ventricular ejection fraction, J Am Coll Cardiol, 60, 1778, 10.1016/j.jacc.2012.07.036 · DOI
  14. Matsubara, 2011, Pentraxin 3 is a new inflammatory marker correlated with left ventricular diastolic dysfunction and heart failure with normal ejection fraction, J Am Coll Cardiol, 57, 861, 10.1016/j.jacc.2010.10.018 · DOI
  15. Puwanant, 2009, Right ventricular function in patients with preserved and reduced ejection fraction heart failure, Eur J Echocardiogr, 10, 733, 10.1093/ejechocard/jep052 · DOI
  16. Morris, 2011, Right ventricular myocardial systolic and diastolic dysfunction in heart failure with normal left ventricular ejection fraction, J Am Soc Echocardiogr, 24, 886, 10.1016/j.echo.2011.04.005 · DOI
  17. McKee, 1971, The natural history of congestive heart failure: the Framingham study, N Engl J Med, 285, 1441, 10.1056/NEJM197112232852601 · DOI · Paper page
  18. Paulus, 2007, How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology, Eur Heart J, 28, 2539, 10.1093/eurheartj/ehm037 · DOI
  19. Paulus, 2010, Treatment of heart failure with normal ejection fraction: an inconvenient truth!, J Am Coll Cardiol, 55, 526, 10.1016/j.jacc.2009.06.067 · DOI
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Metadata

Authors
Katz, D. H., Burns, J. A., Aguilar, F. G., Beussink, L., & Shah, S. J.
Venue
JACC: Heart Failure
Publisher
Elsevier BV
Published
2014-12
Volume
2
Issue
6
Pages
586-596
ISSN
2213-1779
DOI
10.1016/j.jchf.2014.05.016
PMC
PMC4256131
Cited by
87
References
3
Language
en
Licence

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