Renal failure in patients with acute heart failure

Abstract

We read the article “Clinical features, and in-hospital and 1-year mortalities of patients with acute heart failure (AHF) and severe renal dysfunction (RD). Data from the Italian Registry IN-HF Outcome” by Giovanni Cioffi et al. with interest [ [1] Cioffi G. Mortara A. Di Lenarda A. et al. Clinical features, and in-hospital and 1-year mortalities of patients with acute heart failure and severe renal dysfunction. Data from the Italian Registry IN-HF Outcome. Int J Cardiol. Jul 11 2013; https://doi.org/10.1016/j.ijcard.2013.06.020 Abstract Full Text Full Text PDF Scopus (19) Google Scholar ]. The authors aimed to define clinical characteristics and prognostic markers for short and mid-term mortalities in patients with severe RD admitted for AHF. They concluded that in patients with AHF and severe RD, in-hospital and one-year all-cause mortality rates are very high. Independent predictors such as older age, and signs of hypoperfusion and hyponatremia may be identified but preventing and reversing RD remain the key targets for the clinical management of these patients’.