Heart failure & cardiomyopathiesResearch article

Albuminuria as a Diagnostic Criterion and a Therapeutic Target in Heart Failure and Other Cardiovascular Disease

Eur J Heart FailPublished

  • Narrative review

Study context

Population
Patients at risk of kidney and heart disease (chronic kidney disease (CKD), heart failure (HF) and other cardiovascular disease (CVD))

Main finding

As reported in the abstract

Urine albumin-to-creatinine ratio (uACR) as diagnostic and prognostic marker
  • Urine albumin-to-creatinine ratio (uACR) recognised as a diagnostic marker for CKD and a prognostic marker for CKD progression, HF and CVD outcomes; albuminuria changes accepted as a surrogate outcome for kidney and CV endpoints
  • In trials of guideline-directed medical therapies, uACR reductions accompanied by risk reductions for CV, HF and other CKD outcomes
  • uACR not routinely measured in patients at risk of kidney and heart disease

Original publication

Albuminuria as a Diagnostic Criterion and a Therapeutic Target in Heart Failure and Other Cardiovascular Disease. Eur J Heart Fail. Published 27 May 2025. doi:10.1002/ejhf.3683

Summarised from the published abstract; every number is checked against it