Journal
EUROPEAN JOURNAL OF HEART FAILURE
Volume 4, Issue 2, Pages 125-130Publisher
WILEY
DOI: 10.1016/S1388-9842(01)00238-0
Keywords
chronic cardiac failure; chronic renal failure
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Chronic heart failure (CHF) is often associated with impaired renal function due to hypoperfusion. Such patients are very sensitive to changes in renal perfusion pressure, and may develop acute tubular necrosis if the pressure falls too far. The situation is complicated by the use of diuretics, ACE inhibitors and spironolactone, all of which may affect renal function and potassium balance. Chronic renal failure (CRF) may also be associated with fluid overload. Anaemia and hypertension in CRF contribute to the development of left ventricular hypertrophy (LVH), which carries a poor prognosis, so correction of these factors is important. (C) 2002 European Society of Cardiology. Published by Elsevier Science B.V All rights reserved.
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