Article 1219

Title of the article

FEATURES OF THE FUNCTIONAL STATE OF KIDNEYS IN PATIENTS WITH CHRONIC HEART FAILURE 

Authors

Grishina Natal'ya Pavlovna, Senior laboratory assistant, sub-department of hospital therapy named after R. G. Mezhebovskiy, Orenburg State Medical University (6/45/7 Sovetskaya street/M. Gorkogo street/Dmitrievskiy lane, Orenburg, Russia), E-mail: ngrishina1@yandex.ru
Lopina Ekaterina Anatol'evna, Assistant, sub-department of hospital therapy named after R. G. Mezhebovskiy, Orenburg State Medical University (6/45/7 Sovetskaya street/M. Gorkogo street/Dmitrievskiy lane, Orenburg, Russia), E-mail: ekaterina_lopina@mail.ru
Libis Roman Aronovich, Doctor of medical sciences, professor, head of sub-department of hospital therapy named after R. G. Mezhebovskiy, Orenburg State Medical University (6/45/7 Sovetskaya street/M. Gorkogo street/Dmitrievskiy lane, Orenburg, Russia), E-mail: rlibis@gmail.com 

Index UDK

616.12-008.46-039-036.12-02:612.46 

DOI

10.21685/2072-3032-2019-2-1 

Abstract

Background. Diseases of the cardiovascular system occupy a leading place in the structure of hospitalization and mortality, the leading position belongs to the developmentof chronic heart failure. The development of renal failure and the manifestation of symptoms of the cardiorenal continuum lead to a significant deterioration in the prognosis of this group of patients. Objective: to study the functional features of the kidney in patients with chronic heart failure in the gender aspect.
Materials and methods. Fifty patients suffering from chronic heart failure, aged 60 to 70 years, were examined. All patients underwent ECO-CS to assess the state of the myocardium and analysis of serum and urine to determine kidney function.
Results. The study confirmed the close relationship of cardiovascular disease and their mutual influence with negative dynamics.
Conclusion. In the group of women revealed more significant changes in structural and functional indicators of the myocardium, indicating the progression of diastolic CHF. In addition, there is a more significant decrease in the functional ability of the kidneys compared with a group of men; Both men and women showed CKD progression as CHF worsened; The resulting relationship between LVEF and GFR in combination with the albumin-creatinine ratio may indicate the formation of the cardiorenal continuum in this cohort of patients. 

Key words

chronic heart failure, chronic kidney disease, cardiorenal continuum 

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References

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Дата создания: 06.09.2019 13:15
Дата обновления: 16.09.2019 08:15