Abstract

Chronic heart failure (CHF) is an essential medical, economic, and social problem of the 21st century. Acute decompensated heart failure (ADHF) is a common cause of hospitalization and mortality in patients with CHF. The article presents the analysis of frequency, prognostic signifi cance, and features of renal failure onset in ADHF patients, as well as the effects of various groups of drugs used in the treatment of ADHF on the kidney function. Special aspects of administering these drugs are elucidated in the context of deteriorating kidney function.

Highlights

  • Chronic heart failure (CHF) is an essential medical, economic, and social problem of the 21st century

  • The use of diuretics depending on the functional class of chronic heart failure (CHF)

  • Dose of diuretics depending on the glomerular filtration rate (GFR) in acute and chronic heart failure

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Summary

Клинические случаи Clinical cases

Приводящее к повреждению почек Abrupt worsening of cardiac function leading to kidney injury. Острое почечное повреждение при остром коронарном синдроме, острая декомпенсация хронической сердечной недостаточности, тромбоэмболия легочной артерии, после коронароангиографии, хирургических вмешательств на сердце Acute kidney injury in acute coronary syndrome, acute decompensation of chronic heart failure, pulmonary thromboembolism, after coronary angiography, and after heart surgery

Chronic cardiac abnormalities causing progressive chronic kidney injury
Патофизиология кардиоренального синдрома
Методы оценки функции почек
Петлевые диуретики
Особенности мочегонной терапии при ОДХСН
With signs of congestion
Декомпенсация ХСН CHF decompensation
Тиазидные диуретики Thiazide diuretics
Не рекомендован при СКФ
Информация о вкладе авторов
Information on author contributions
Findings
Information about the authors

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