Heart failure and cardiorenal syndrome: a case report

Heart failure and cardiorenal syndrome: a case report

Authors

  • Valentina Zilioli Cattedra di Cardiologia, Università degli Studi di Brescia
  • Marco Triggiani Cattedra di Cardiologia, Università degli Studi di Brescia
  • Giacomo Faden Cattedra di Cardiologia, Università degli Studi di Brescia
  • Elisa Locantore Cattedra di Cardiologia, Università degli Studi di Brescia
  • Savina Nodari Cattedra di Cardiologia, Università degli Studi di Brescia
  • Pompilio Faggiano Cattedra di Cardiologia, Università degli Studi di Brescia
  • Livio dei Cas Cattedra di Cardiologia, Università degli Studi di Brescia


DOI:

https://doi.org/10.7175/cmi.v5i1.511

Keywords:

Heart failure, Cardio renal syndrome, Diuretics, Ultrafiltration

Abstract

Cardio-Renal Syndrome (CRS) is a renal dysfunction occurring in a large percentage of pts hospitalised for congestive heart failure (CHF). It is characterised by an excessive fluid retention inside the body, resistance to conventional medical therapy, worsening renal function (WRF) and higher mortality. The prevalence of CRS is likely increased because of the improved survival of HF patients. WRF occurs frequently among hospitalised HFF and is associated with a significantly worse outcome. Clinical features at admission can be used to identify patients at high risk for developing WRF. The clinical case presented concerns a 70-year-old diabetic man with post-ischemic cardiomyopathy and chronic kidney failure, admitted to our division for acute heart failure. During hospitalisation he showed a progressive WRF and resistance to diuretic treatment. After Ultrafiltration treatment there was a progressive clinical improvement. Many treatments have been investigated in order to improve renal function, but none has been demonstrated to improve clinical outcome. Currently Ultrafiltration is reserved to patients with volume overload when traditional medical therapies fail and/or patients become resistant to diuretics.

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Published

2011-03-15

Issue

Vol. 5 No. 1 (2011)

Section

Case report

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