Evaluation and Management of Kidney Dysfunction in Advanced Heart Failure
Published: September 10, 2024
- Kidney dysfunction in advanced heart failure (HF) involves the kidneys' inability to maintain fluid and electrolyte balance and waste excretion, necessitating comprehensive evaluation beyond estimated glomerular filtration rate (eGFR).
- Advanced HF therapies and mechanical circulatory support can improve perfusion and relieve congestion, with careful preoperative, perioperative, and postoperative kidney support strategies being key to mitigating the risk of acute kidney injury.
- Multidisciplinary team-based approaches can address disparities, improve quality of life and enhance health care outcomes in patients with kidney dysfunction and advanced heart failure.
Video: Evaluation and Management of Kidney Dysfunction in Advanced Heart Failure
Nisha Bansal MD, MS and Wilson Tang, MD discuss the newly released AHA scientific statement on mechanisms of kidney dysfunction in advanced heart failure, critical considerations for LVAD and heart transplants, and the importance of a multidisciplinary approach including palliative care.
Recommended Reading
- 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure
- Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure
- Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies
- Dual-Organ Transplantation: Indications, Evaluation, and Outcomes for Heart-Kidney and Heart-Liver Transplantation
- Decision Making in Advanced Heart Failure