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Management of Acute Admissions of Heart Failure Patients with Kidney Disease.

Junarta, J; Banerjee, A; Lowe-Jones, R; Banerjee, D (2019) Management of Acute Admissions of Heart Failure Patients with Kidney Disease. Acute Med, 18 (2). pp. 96-104. ISSN 1747-4892
SGUL Authors: Banerjee, Debasish

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Abstract

Acute heart failure (HF) admissions are common. They are often associated with prolonged hospitalisations and poor outcomes. One-third of chronic HF patients also suffer from chronic kidney disease (CKD). Hence, acute admissions of HF with CKD are common and are associated with longer length of stay and increased mortality. Hyperkalaemia and acute on chronic renal impairment are important challenges in the management of these cases. Cautious introduction of high-dose diuretic therapy, followed by the re-commencement of renin-angiotensin-aldosterone (RAAS) inhibitors, improves length of stay, quality of life, and prognosis. During an admission on to the medical assessment unit careful monitoring and management of the patient's clinical condition and biochemistry is essential.

Item Type: Article
Keywords: 1103 Clinical Sciences
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: Acute Med
ISSN: 1747-4892
Language: eng
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Dates:
DateEvent
27 May 2019Published
PubMed ID: 31127798
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110914

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