CLINICAL DISPLAYS OF LESION OF KIDNEYS AT A CHRONIC HEART FAILURE

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.