Heart failure & cardiomyopathies
In Heart Failure, Echocardiographic Parameters of Right Ventricular Function are Powerful Tools to Predict Renal Failure
Authors' conclusion
The results of this work support the theory of right-sided cardiac backward failure, often accompanied by hypervolaemia, as a leading cause of HF-related renal failure. Right heart parameters, especially TR, TAPSE and IVC, are obtained easily by transthoracic echocardiography and can predict renal failure.
Study context
- Population
- Patients with heart failure examined at regular intervals at an outpatient clinic for heart failure (HF)consecutive patients with HF
- Participants
- 281 patients
- Outcome
- Right ventricular dysfunction and CKD and WRF
Methodological detailsconsecutive patients, outpatient clinic for HF
- Consecutive patients
- Outpatient clinic for HF
Main finding
As reported in the abstract
- Right ventricular dysfunction was associated with chronic kidney disease (CKD) and worsening renal function (WRF)
Observational data: associations, not effects.
Further findings
Echocardiographic parameters and renal failure
| OR | P value | |
|---|---|---|
| TAPSE < 15 mmCorrelated with renal failure | 2.932 | P < 0.001 |
| TR > I°Correlated with renal failure | 5.958 | P < 0.001 |
| Dilatation of IVCCorrelated with renal failure | 3.670 | P < 0.001 |
| Outcome | OR | P value |
|---|---|---|
| N-terminal pro-B-type natriuretic peptide levels and CKDAssociated with CKD | 6.109 | P < 0.001 |
N-terminal pro-B-type natriuretic peptide levels and CKD
- N-terminal pro-B-type natriuretic peptide levels correlated with pressure and volume load of the right heart
Original publication
In Heart Failure, Echocardiographic Parameters of Right Ventricular Function are Powerful Tools to Predict Renal Failure. ESC Heart Fail. Published 25 February 2025. doi:10. 1002/ ehf2. 15176
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