Management of heart failure in patients with end-stage kidney disease on maintenance dialysis: a practical guide

Joseph, Megan S; Palardy, Maryse; Bhave, Nicole M.

doi:10.31083/j.rcm.2020.01.24

Cited by 15 publications

(9 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The mutual negative influence of impaired renal function and cardiovascular disease can lead to cardiorenal syndrome [ 40 , 41 , 42 ]. Morbid obesity and metabolic syndrome, which can lead to type 2 diabetes mellitus, are common satellites of cardiorenal syndrome in this situation [ 13 , 43 ].…”

Section: General Characteristics Of the Causes And Consequences Of Esrdmentioning

confidence: 99%

See 1 more Smart Citation

The Pathogenesis of End-Stage Renal Disease from the Standpoint of the Theory of General Pathological Processes of Inflammation

Гусев

Соломатина

Zhuravleva

et al. 2021

IJMS

View full text Add to dashboard Cite

Chronic kidney disease can progress to end-stage chronic renal disease (ESRD), which requires the use of replacement therapy (dialysis or kidney transplant) in life-threatening conditions. In ESRD, irreversible changes in the kidneys are associated with systemic changes of proinflammatory nature and dysfunctions of internal organs, skeletal muscles, and integumentary tissues. The common components of ESRD pathogenesis, regardless of the initial nosology, are (1) local (in the kidneys) and systemic chronic low-grade inflammation (ChLGI) as a risk factor for diabetic kidney disease and its progression to ESRD, (2) inflammation of the classical type characteristic of primary and secondary autoimmune glomerulonephritis and infectious recurrent pyelonephritis, as well as immune reactions in kidney allograft rejection, and (3) chronic systemic inflammation (ChSI), pathogenetically characterized by latent microcirculatory disorders and manifestations of paracoagulation. The development of ChSI is closely associated with programmed hemodialysis in ESRD, as well as with the systemic autoimmune process. Consideration of ESRD pathogenesis from the standpoint of the theory of general pathological processes opens up the scope not only for particular but also for universal approaches to conducting pathogenetic therapies and diagnosing and predicting systemic complications in severe nephropathies.

show abstract

Section: General Characteristics Of the Causes And Consequences Of Esrdmentioning

confidence: 99%

“…In general, the development of renal fibrosis and ESRD depends on the degree of systemic and local homeostatic and proinflammatory changes in the kidneys, alongside dysfunctions from other organs, for example, in cardiorenal syndrome [ 40 , 41 , 42 ].…”

Section: Typical Low-intensity Inflammatory Processes In Ckd and Esrdmentioning

confidence: 99%

The Pathogenesis of End-Stage Renal Disease from the Standpoint of the Theory of General Pathological Processes of Inflammation

Гусев

Соломатина

Zhuravleva

et al. 2021

IJMS

View full text Add to dashboard Cite

show abstract

“…The semistructured interview from the perspective of doctor and patient was through the results of the previous interview, in the construction of the follow-up palliative care regimen, corresponding nursing care was given according to the reasons for the patients' not taking medicines on time, and a diet plan was formulated for the patients. It provided continuous nursing care for discharged patients through WeChat groups and WeChat official accounts and provided patients with professional, reliable, and stable information sources outside the hospital, so as to ensure the quality of patient' care outside the hospital and reduce the incidence of readmission [ 14 ]. The results of this study also found that there were no deaths in the two groups during the intervention period, which may be related to the short follow-up time in this study.…”

Section: Discussionmentioning

confidence: 99%

Application of Semistructured Interview Based on Doctor-Patient Perspective in Constructing a Palliative Care Regimen for Patients with Advanced Heart Failure

Zhou

Cai

2022

Emergency Medicine International

View full text Add to dashboard Cite

Objective. The aim of this study is to explore the application of semistructured interview based on doctor-patient perspective in constructing a palliative care regimen for patients with advanced heart failure. Methods. 112 patients with advanced heart failure who were admitted to the hospital were selected between December 2019 and December 2020, and they were randomly divided into an interview group and a routine group, with 56 cases in each group. The routine group was given routine nursing for advanced heart failure while the interview group developed a palliative care regimen based on a semistructured interview from the doctor-patient perspective. The psychological states (Depression-Anxiety-Stress Scale (DASS-21)), symptoms (Memorial Symptom Assessment Scale-Heart Failure (MSAS-HF)), quality of life (Kansas City Cardiomyopathy Questionnaire (KCCQ)), and prognosis (readmission rate, mortality rate) were compared between the two groups before and after intervention. Results. Compared with before intervention, there were no significant differences in the scores of DASS-21, MSAS-HF, and KCCQ in the routine group after intervention ( P > 0.05 ), and the scores of DASS-21 and MSAS-HF in the interview group were decreased while KCCQ scores were increased ( P < 0.05 ). Scores of DASS-21 and MSAS-HF and readmission rate were lower while the KCCQ scores were higher in the interview group compared with those in the routine group ( P < 0.05 ). There was no significant difference in the mortality rate between the two groups ( P > 0.05 ). Conclusion. The application of a semistructured interview based on the doctor-patient perspective to construct the palliative care regimen for patients with advanced heart failure can eliminate the negative emotions, improve the psychological states, relieve the clinical symptoms, enhance the quality of life, and reduce the risk of readmission.

show abstract

“…HD patients are at 12–36 times higher risk for the development of CHF [7, 8] . It has been reported that the prevalence of HF was as high as 33%–40% in Medicare ESKD patients in the USA [9, 10] . ESKD and HF have the same traditional common causes.…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcomes in Patients on Hemodialysis with Congestive Heart Failure

Zhao¹,

Gan²,

Niu³

et al. 2023

Kidney Dis

View full text Add to dashboard Cite

Introduction: Congestive heart failure (CHF) is one of the common complications in patients with end-stage kidney disease. In the general population, CHF increases the risk of the death. However, there is no well-designed relevant study in the Chinese hemodialysis (HD) population addressing the risks associated with CHF. The aim of this study was to explore the impact of CHF on clinical outcomes in HD patients. Methods: Data from a prospective cohort study, the China Dialysis Outcomes and Practice Patterns Study (DOPPS) 5 (2012-2015), were analyzed. Demographic data, comorbidities, lab data, and death records were extracted. CHF was defined by the diagnosis records upon study inclusion. Our primary outcome was all-cause and cardiovascular (CV) mortality; secondary outcomes were all-cause and cause-specific hospitalization risk. Associations between CHF and outcomes were evaluated using Cox regression models. Stepwise multivariate logistic regression was used to identify the related risk factors, and subgroup analyses were carried out. Results: Of 1411 patients without missing CHF history information, 24.1% (340) had CHF diagnosis at enrollment. The overall mortality rates were 21.8% vs. 12.0% (p <0.001) in patients with and without CHF during follow-up, respectively. CHF was associated with higher all-cause mortality (adjusted HR: 1.72, 95% CI: 1.17-2.53, p=0.006), and the association with CV death was of similar magnitude (HR: 1.60, 95% CI: 0.91-2.81, p=0.105). CHF patients had more episodes of hospitalization due to heart failure (HR 2.93, 95% CI: 1. 49- 5.76, P<0.01). However, compared with patients without CHF, the all-cause hospitalization risk was not much higher in CHF patients (HR 1.09, 95% CI: 0.90-1.33, P=0.39). Subgroup analysis found that the effect of CHF on all-cause mortality was stronger for male patients, patients with residual renal function, the elderly (≥60 years of age), patients with arteriovenous fistulae vascular accesses, non-diabetic patients, low-flux dialyzer users, and inadequately dialyzed patients (stdKt/V<2). Conclusion: In HD patients, CHF was found to be associated with a higher risk of all-cause mortality and cause-specific hospitalization risk. Further research is needed to identify opportunities to improve care for HD patients combined with CHF.

show abstract

Management of heart failure in patients with end-stage kidney disease on maintenance dialysis: a practical guide

Cited by 15 publications

References 49 publications

The Pathogenesis of End-Stage Renal Disease from the Standpoint of the Theory of General Pathological Processes of Inflammation

The Pathogenesis of End-Stage Renal Disease from the Standpoint of the Theory of General Pathological Processes of Inflammation

Application of Semistructured Interview Based on Doctor-Patient Perspective in Constructing a Palliative Care Regimen for Patients with Advanced Heart Failure

Clinical Outcomes in Patients on Hemodialysis with Congestive Heart Failure

Contact Info

Product

Resources

About