Preview

Nephrology (Saint-Petersburg)

Advanced search

CLINICAL DISPLAYS OF LESION OF KIDNEYS AT A CHRONIC HEART FAILURE

https://doi.org/10.24884/1561-6274-2010-14-4-27-30

Abstract

THE AIM: to study prevalence of clinical displays of lesion of kidneys in patients with a chronic heart failure (СHF) and their importance for progressing CHF. PATIENTS AND METHODS. 600 patients with CHF are surveyed. In patients with a CHF studied prevalence of chronic kidney disease (CKD), distribution of sizes of a glomerular filtration rate (GFR), creatinine and urea ofblood serum, perform the analysis of occurrence of anomalies of a urine sediment and displays of renal dysfunction. RESULTS. At all 600 patients with a CHF revealed CKD 1-4 stages. In 93,2% of cases there was decrease GF less than 90 ml/min/1,73m². Proteinuria has been revealed in 14,2%, erythrocyturia – in 8,0%, leucocyturia – in 7,8%. With increase a functional class (FC) of a CHF occurrence macrohematuria, oliguria and nocturia increased. FC increase of a CHF did not affect decrease GFR. With progressing CHF authentically associated hypercreatininemia and macrohematuria. CONCLUSION. Damage tissues of kidneys at patients with CHF promotes progressing CHF, but is not connected with change of a glomerular filtration in kidneys.

About the Authors

M. M. Batyushin
Ростовский государственный медицинский университет, г. Ростов-на-Дону
Russian Federation


N. S. Vrublevskaya
Ростовский государственный медицинский университет, г. Ростов-на-Дону
Russian Federation


References

1. Фомин ИВ, Беленков ЮН, Мареев ВЮ. Распространенность хронической сердечной недостаточности в Европейской части Российской Федерации – данные ЭПОХА-СН. Сердечная недостаточность 2006;3:112-115

2. Васюк ЮА. Возможности и ограничения эхокардиографического исследования в оценке ремоделирования левого желудочка при ХСН. Сердечная недостаточность 2003; 4(2):107-110

3. Сторожаков ГИ. Основные направления в лечении больных с хронической сердечной недостаточностью (руководство для врачей терапевтов врачей общей практики). М., 2008; 312

4. Damman K, Navis G, Voors AA. Worsening renal function and prognosis in heart failure: systematic review and meta-analysis. J Card Fail 2007;13(8):599-608

5. Anavekar NS, McMurray JJ, Velazquez EJ et al.Relation between renal dysfunction and cardiovascular outcomes after myocardial infarction. N Engl J Med 2004; 351:1285-1295

6. Go AS, Yang J, Ackerson LM et al. Hemoglobin level, chronic kidney disease, and the risks of death and hospitalization in adults with chronic heart failure: the Anemia in Chronic Heart Failure: Outcomes and Resource Utilization (ANCHOR) Study. Circulation 2006; 113(23): 2713-2723


Review

For citations:


Batyushin M.M., Vrublevskaya N.S. CLINICAL DISPLAYS OF LESION OF KIDNEYS AT A CHRONIC HEART FAILURE. Nephrology (Saint-Petersburg). 2010;14(4):27-30. (In Russ.) https://doi.org/10.24884/1561-6274-2010-14-4-27-30

Views: 884


ISSN 1561-6274 (Print)
ISSN 2541-9439 (Online)