Long-term changes in renal function and perfusion in heart failure patients with reduced ejection fraction

Nicolas F Schroten, Kevin Damman, Mattia A. E. Valente, Tom D. Smilde, Dirk J. van Veldhuisen, Gerjan J. Navis, Carlo A. Gaillard, Adriaan A Voors, Hans L. Hillege

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Little is known about the natural course of renal function and renal hemodynamics in heart failure patients with reduced ejection fraction (HFREF).We prospectively studied effective renal plasma flow (ERPF) and glomerular filtration rate (GFR) in 73 HFREF patients with I-125-iothalamate/I-131-hippuran clearances with a mean follow-up of 34.6 +/- A 4.4 months. Fifteen percent were female, with age 58 +/- A 12 years and left ventricular ejection fraction (LVEF) 29 +/- A 10 %. Baseline GFR was 81 +/- A 23 mL/min/1.73 m(2) and declined 0.6 +/- A 4.7 mL/min/1.73 m(2) per year. Baseline ERPF was 292 +/- A 83 mL/min/1.73 m(2) and declined 4.3 +/- A 19 mL/min/1.73 m(2) per year. Of the baseline variables, older age and high urinary kidney injury molecule-1 were the only variables associated with GFR decline (p
Original languageEnglish
Pages (from-to)10-16
Number of pages7
JournalClinical Research in Cardiology
Volume105
Issue number1
DOIs
Publication statusPublished - Jan 2016

Keywords

  • Cardiorenal
  • Heart failure
  • Renal blood flow
  • Kidney
  • Biomarkers
  • GLOMERULAR-FILTRATION-RATE
  • NT-PRO-BNP
  • TUBULAR DAMAGE
  • DYSFUNCTION
  • RISK
  • IMPAIRMENT
  • PREDICTORS
  • THERAPY
  • DISEASE
  • IMPACT

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