Prompt reduction in Intra-Abdominal Pressure following large-volume mechanical fluid removal improves renal insufficiency in refractory decompensated Heart Failure

Mullens, Wilfried; Abrahams, Zuheir; Francis, Gary S.; Taylor, David O.; Starling, Randall C.; Tang, W.H. Wilson

doi:10.1016/s1567-4215(08)60411-7

Cited by 63 publications

(93 citation statements)

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“…IAP is an independent risk factor for AKI development and may also explain the cardiorenal syndrome [40][41][42][43] . Dalfino et al [44] put IAP into relation with RIFLE criteria by showing intra-abdominal hypertension to be an independent predictive factor of acute renal failure, defined as failure class of RIFLE criteria [45,46] .…”

Section: Acute Respiratory Distress Syndromementioning

confidence: 99%

Acute kidney injury classification: AKIN and RIFLE criteria in critical patients

Lin

Chen

2012

WJCCM

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Acute kidney injury (AKI) is a common and serious complication in critically ill patients. The mortality rate remains high despite improved renal replacement techniques. A possible cause of the high mortality rate is that intensive care unit patients tend to be older and more debilitated than before. Pathophysiological factors associated with AKI are also implicated in the failure of other organs, indicating that AKI is often part of a multiple organ failure syndrome. Until recently, there was a lack of consensus as to the best definition, characterization, and evaluation of acute renal failure. This lack of a standard definition has been a major impediment to progress in clinical and basic research. The introduction of the risk, injury, failure, loss, and end-stage kidney disease criteria and the modified version proposed by the Acute Kidney Injury Network have increased the conceptual understanding of AKI syndrome, and these criteria have been successfully tested in clinical studies. This article reviews current findings concerning the application of these criteria for assessing epidemiology and predicting outcome in specific homogeneous critically ill patient groups.

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Section: Acute Respiratory Distress Syndromementioning

confidence: 99%

Acute kidney injury classification: AKIN and RIFLE criteria in critical patients

Lin

Chen

2012

WJCCM

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“…Liver congestion, ascites, and jaundice may improve with diuretics therapy, but in refractory cases, combination therapy with diuretics paracentesis, ultrafiltration, or peritoneal dialysis may be needed (18,29,63,64). A small study reported that in volume-overloaded patients admitted with ADHF refractory to intensive medical therapy, paracentesis results in a reduction of elevated intraabdominal pressure with corresponding improvement in renal function (65 …”

Section: Management Of Liver Damage In the Setting Of Hfmentioning

confidence: 99%

How to interpret liver function tests in heart failure patients?

Cagli

Başar²,

Tok³

et al. 2020

Turk J Gastroenterol

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Cardiac hepatopathy has generally been used to describe any liver damage caused by cardiac disorders in the absence of other possible causes of liver damage. Although there is no consensus on the terminology used, cardiac hepatopathy can be examined as congestive hepatopathy (CH) and acute cardiogenic liver injury (ACLI). CH is caused by passive venous congestion of the liver that generally occurs in the setting of chronic cardiac conditions such as chronic HF, constrictive pericarditis, tricuspid regurgitation, or right-sided heart failure (HF) of any cause, and ACLI is most commonly associated with acute cardiocirculatory failure resulting from acute myocardial infarction, acute decompensated HF, or myocarditis. Histologically, CH is characterized by sinusoidal dilation, replacement of hepatocytes with red blood cells extravasating from the sinusoids, and necrosis/apoptosis of zone 3 of the Rappaport acinus, and it could progress to cirrhosis in advanced cases. In ACLI, however, massive necrosis of zone 3 is the main histological finding. Primary laboratory findings of CH are elevated serum cholestasis markers including bilirubin, alkaline phosphatase, and γ-glutamyl-transpeptidase levels, whereas those of ACLI are a striking elevation in transaminase and lactate dehydrogenase levels. Both CH and ACLI have a prognostic value for identifying cardiovascular events and mortality and have some special implications in the management of patients undergoing ventricular assist device implantation or cardiac transplantation. There is no specific treatment for CH or ACLI other than treatment of the underlying cardiac disorder.

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“…Increased systemic congestion due to right ventricular dysfunction independent of left ventricular EF has a negative effect on the kidney as well as other organs. There have been studies reporting that increased right atrial and central venous pressure were related with loss of renal function and, renal function recovery was observed with decreased systemic congestion (20)(21)(22)(23)(24)(25)(26). Although it is not clear, proinflammatory cytokines secreted as a result of endothelial stretch might be responsible (27).…”

Section: B) Right Ventricular Dilatation and Dysfunctionmentioning

confidence: 99%

“…This condition can be similar to ischemic hepatitis occurring in HF. It has been showed that lowering IAB in HF patients improves renal function (20)(21)(22)(23)(24)(25)(26). On the other hand, unlike CARRESS, which was one of the three major studies comparing diuretic treatment with extracorporeal UF in patients with acute decompensated HF, weight loss was similar in both groups while the rate of deterioration in renal function in the extracorporeal UF group was greater than in the UF group (p=0.003) (78).…”

Section: How Does Peritoneal Dialysis Affect Glomerular Filtration Rate?mentioning

confidence: 99%

Role of Peritoneal Ultrafiltration in Heart Failure Treatment

Senel¹,

Cebeci²,

Öztürk³

2017

Haseki

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Prompt reduction in Intra-Abdominal Pressure following large-volume mechanical fluid removal improves renal insufficiency in refractory decompensated Heart Failure

Cited by 63 publications

References 0 publications

Acute kidney injury classification: AKIN and RIFLE criteria in critical patients

Acute kidney injury classification: AKIN and RIFLE criteria in critical patients

How to interpret liver function tests in heart failure patients?

Role of Peritoneal Ultrafiltration in Heart Failure Treatment

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