Russian Heart Failure Journal 2005year Heart failure in patients with chronic renal insufficiency
Heart failure in patients with chronic renal insufficiency
Storozhakov G.I., Tomilina N.A., Shilo V.Yu., Gendlin G.E.
Heart failure can develop at any stage of chronic renal insufficiency (CRI). Disturbed systolic and/or diastolic cardiac function can underlie heart failure. Its management and prevention require a new approach to the therapy at all stages of CRI. Thorough control of AH, correction of anemia, adherence to an anti-atherogenic diet, administration of lipid-lowering drugs (statins) if appropriate, and giving up smoking should be initiated as early as at the pre-dialysis stage of this syndrome. In evaluation of patients, ECG and echoCG in dynamics should be routinely used. Further investigating the peculiarities of appearance and course of HF as well as its treatment and prevention will require participation of not only nephrologists but also specialists in different fields of cardiology.