Impact of Renal Function on Survival After Cardiac Resynchronization Therapy

Kpaeyeh, John A; Divoky, Laura; Hyer, J. Madison; Daly, David D.; Maran, Anbukarasi; Waring, Ashley; Gold, Michael R.

doi:10.1016/j.amjcard.2017.04.017

Cited by 7 publications

(5 citation statements)

References 16 publications

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“…This relation is particularly strong in patients with cardiovascular diseases (CVD), including acute and chronic coronary syndrome (ACS and CCS), heart failure (HF), or atrial fibrillation (AF) [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. Several studies emphasized the bidirectional relation between renal function and cardiovascular outcomes [5,[20][21][22] as CVD is responsible for 40-50% of all deaths in nephropathic patients [5,23,24], and CKD, even in early stages, has been related to fatal and nonfatal cardiovascular events, regardless of traditional cardiovascular risk factors [25][26][27][28][29][30][31][32]. Thus, an accurate assessment of renal function is crucial in clinical decision-making processes and may affect prognostic stratification.…”

Section: Introductionmentioning

confidence: 99%

Kidney Function According to Different Equations in Patients Admitted to a Cardiology Unit and Impact on Outcome

Malavasi

Valenti

Ruggerini

et al. 2022

JCM

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Background: This paper aims to evaluate the concordance between the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula and alternative equations and to assess their predictive power for all-cause mortality in unselected patients discharged alive from a cardiology ward. Methods: We retrospectively included patients admitted to our Cardiology Division independently of their diagnosis. The total population was classified according to Kidney Disease: Improving Global Outcomes (KDIGO) categories, as follows: G1 (estimated glomerular filtration rate (eGFR) ≥90 mL/min/1.73 m2); G2 (eGFR 89–60 mL/min/1.73 m2); G3a (eGFR 59–45 mL/min/1.73 m2); G3b (eGFR 44–30 mL/min/1.73 m2); G4 (eGFR 29–15 mL/min/1.73 m2); G5 (eGFR <15 mL/min/1.73 m2). Cockcroft-Gault (CG), CG adjusted for body surface area (CG-BSA), Modification of Diet in Renal Disease (MDRD), Berlin Initiative Study (BIS-1), and Full Age Spectrum (FAS) equations were also assessed. Results: A total of 806 patients were included. Good agreement was found between the CKD-EPI formula and CG-BSA, MDRD, BIS-1, and FAS equations. In subjects younger than 65 years or aged ≥85 years, CKD-EPI and MDRD showed the highest agreement (Cohen’s kappa (K) 0.881 and 0.588, respectively) while CG showed the lowest. After a median follow-up of 407 days, overall mortality was 8.2%. The risk of death was higher in lower eGFR classes (G3b HR4.35; 95%CI 1.05–17.80; G4 HR7.13; 95%CI 1.63–31.23; G5 HR25.91; 95%CI 6.63–101.21). The discriminant capability of death prediction tested with ROC curves showed the best results for BIS-1 and FAS equations. Conclusion: In our cohort, the concordance between CKD-EPI and other equations decreased with age, with the MDRD formula showing the best agreement in both younger and older patients. Overall, mortality rates increased with the renal function decreasing. In patients aged ≥75 years, the best discriminant capability for death prediction was found for BIS-1 and FAS equations.

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Section: Introductionmentioning

confidence: 99%

Kidney Function According to Different Equations in Patients Admitted to a Cardiology Unit and Impact on Outcome

Malavasi

Valenti

Ruggerini

et al. 2022

JCM

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“…In our study, there was a significantly higher rate of response to CRT in patients with narrowing fQRS than in patients with nonnarrowing fQRS. Recently, renal impairment was also reported to be an independent predictor of long‐term mortality in CRT patients (Daly et al., ; Kpaeyeh et al., ). However, several factors contribute to the prognosis of HF patients, and the response to CRT alone may not be sufficient for predicting their outcomes.…”

Section: Discussionmentioning

confidence: 99%

Narrowing filtered QRS duration on signal‐averaged electrocardiogram predicts outcomes in cardiac resynchronization therapy patients with nonischemic heart failure

Suzuki

Shiga

Daigo

et al. 2017

Noninvasive Electrocardiol

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“…26 Moreover, the baseline impaired renal function level and the decline in renal function over time were also associated with the outcomes. 27 The MAP is one of the critical hemodynamic factors. So, the low MAP level was considered low cardiac output and may result in low tissue perfusion.…”

Section: Predictors Of Outcomes After Crt Implantationmentioning

confidence: 99%

The efficacy and safety outcomes of cardiac resynchronization therapy in patients with heart failure in Thailand: Phramongkutklao experience

Limprasert

Uerojanaungkul

Chantrarat

2021

Journal of Arrhythmia

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Impact of Renal Function on Survival After Cardiac Resynchronization Therapy

Cited by 7 publications

References 16 publications

Kidney Function According to Different Equations in Patients Admitted to a Cardiology Unit and Impact on Outcome

Kidney Function According to Different Equations in Patients Admitted to a Cardiology Unit and Impact on Outcome

Narrowing filtered QRS duration on signal‐averaged electrocardiogram predicts outcomes in cardiac resynchronization therapy patients with nonischemic heart failure

The efficacy and safety outcomes of cardiac resynchronization therapy in patients with heart failure in Thailand: Phramongkutklao experience

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