Risk assessment of acute kidney injury in patients with acute cardiovascular disease without invasive intervention

To evaluate the prevalence, predictors, prognostic value of cardiorenal interrelations in patients with acute cardiovascular disease (CVD), and to develop an algorithm for stratification these patients at risk of acute kidney injury (AKI). 566 patients (pts) were examined: 278 with acute decompensat...

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Veröffentlicht in:Kardiologiia 2019-11, Vol.59 (12S), p.46-56
Hauptverfasser: Avdoshina, S V, Efremovtseva, M A, Villevalde, S V, Kobalava, Zh D
Format: Artikel
Sprache:eng ; rus
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Zusammenfassung:To evaluate the prevalence, predictors, prognostic value of cardiorenal interrelations in patients with acute cardiovascular disease (CVD), and to develop an algorithm for stratification these patients at risk of acute kidney injury (AKI). 566 patients (pts) were examined: 278 with acute decompensated heart failure (ADHF) and 288 with non-ST-elevation acute coronary syndrome (NSTE-ACS). The levels of electrolytes, glucose, urea, creatinine were evaluated, glomerular filtration rate (GFR) was determined according to the formula CKD-EPI. Chest x-ray, electrocardiography at admission and in dynamics, echocardiography at admission with assessment of systolic and diastolic myocardial functions were performed. Chronic kidney disease (CKD), AKI, ADHF, NSTE-ACS were diagnosed according to Russian and international Guidelines. Mann-Whitney test and multivariate logistic regression analysis were considered significant if p
ISSN:0022-9040
2412-5660
DOI:10.18087/cardio.n466