Russian Heart Failure Journal 2011year Clinical and prognostic importance of hyperuricemia at chronic heart failure of elderly people


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2011/

Clinical and prognostic importance of hyperuricemia at chronic heart failure of elderly people

Larina V. N., Bart B. Ya., Brodsky M. S.
State Budgetary Educational Institution of Higher Professional Education, “N.I. Pirogov Russian National Research Medical University” of the RF Ministry of Health Care, Ostrovityanova 1, Moscow 117997

Keywords: hyperuricemia, clinics, eldery age, prognostication, CHF

DOI: 10.18087/rhfj.2011.5.1557

Relevancy. Many provisions concerning practical value of hyperuricemia at CHF, especially with elderly age patients, stay ambiguous and not clear enough. Objective. Evaluation of clinical and prognostic value of hyperuricemia at CHF, elderly age patients. Materials and methods. The study included 248 CHF II–IV FC patients; they were divided into two groups depending on hyperuricemia evidence or absence (level of the uric acid serum ≥360 mcM / l). Results. Hyperuricemia was revealed at 47.6 % of patients of 60 years old and over; it was associated with increased creatinine level (r=–0.19, p=0.011), decreased glomerular filtration rate (r=0.21, p<0.001), high FC CHF (r=–0.28, p<0.001), lack of АРА II (r=0.14, p=0.032), low ejection fraction of left ventricle (r=0.13, p=0.042), increase of end-systolic dimension of the left ventricle (r=–0.13, p=0.045), increased Рsyst pulmonary artery (r=–0.16, p=0.021) and hospitalization rate (r=–0.17, p=0.005). Increased uric acid level (≥490 mcM / l) in blood serum at CHF disease may be considered as one of the markers of unfavorable progress notes and patients prognostication.
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Larina V. N., Bart B. Ya., Brodsky M. S. Clinical and prognostic importance of hyperuricemia at chronic heart failure of elderly people. Russian Heart Failure Journal. 2011;12(5):277-281.

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