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Nierenfunktion bei Herzinsuffizienz

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Kardiovaskuläre Forschung 2000
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Zusammenfassung

In Abhängigkeit von der Schwere des Pumpenversagens besteht bei Patienten mit Herzinsuffizienz auch eine Niereninsuffizienz. Umgekehrt ist die chronische Niereninsuffizienz mit kardialen und kardiovaskulären Komplikationen assoziiert. Die Prognose der Patienten mit chronischer Niereninsuffizienz bei asymptomatischen und symptomatischen Patienten mit linksventrikulärer systolischer Dysfunktion lässt sich aus der SOLVD-Studie ableiten: Patienten mit einer Kreatininclearance < 60 ml/min hatten ein relatives erhöhtes Risiko von

  • 1,41 im Hinblick auf die Gesamtmortalität (p < 0,001)

  • 1,68 im Hinblick auf das Linksherzversagen (< 0,001)

  • 1,33 im Hinblick auf die Hospitalisierung wegen Herzversagen (p < 0,001).

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Druml, W., Hörl, W.H. (2001). Nierenfunktion bei Herzinsuffizienz. In: Ertl, G. (eds) Kardiovaskuläre Forschung 2000. Steinkopff. https://doi.org/10.1007/978-3-642-93722-4_4

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