Chronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges

Is advanced chronic kidney disease (CKD) a cardiac “no man’s land”? Chronic heart failure (HF) is widely believed to be one of the most serious medical challenges of the 21st century. Moreover, the number of patients with CKD is increasing. To date, patients with estimated glomerular filtration rate...

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Autores principales:	Anna Adamska-Wełnicka, Marcin Wełnicki, Artur Mamcarz, Ryszard Gellert
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	heart failure chronic kidney disease pulmonary hypertension arteriovenous fistulas overhydration Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9b864181d5e947e0bcdc8902aaa09390
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spelling	oai:doaj.org-article:9b864181d5e947e0bcdc8902aaa093902021-11-25T17:22:11ZChronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges10.3390/diagnostics111121642075-4418https://doaj.org/article/9b864181d5e947e0bcdc8902aaa093902021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2164https://doaj.org/toc/2075-4418Is advanced chronic kidney disease (CKD) a cardiac “no man’s land”? Chronic heart failure (HF) is widely believed to be one of the most serious medical challenges of the 21st century. Moreover, the number of patients with CKD is increasing. To date, patients with estimated glomerular filtration rates <30 mL/min/1.73 m<sup>2</sup> have frequently been excluded from large, randomized clinical trials. Although this situation is slowly changing, in everyday practice we continue to struggle with problems that are not clearly addressed in the guidelines. This literature review was conducted by an interdisciplinary group, which comprised a nephrologist, internal medicine specialists, and cardiologist. In this review, we discuss the difficulties in ruling out HF for patients with advanced CKD and issues regarding the cardiotoxicity of dialysis fistulas and the occurrence of pulmonary hypertension in patients with CKD. Due to the recent publication of the new HF guidelines by the European Society of Cardiology, this is a good time to address these difficult issues. Contrary to appearances, these are not niche issues, but problems that affect many patients.Anna Adamska-WełnickaMarcin WełnickiArtur MamcarzRyszard GellertMDPI AGarticleheart failurechronic kidney diseasepulmonary hypertensionarteriovenous fistulasoverhydrationMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2164, p 2164 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	heart failure chronic kidney disease pulmonary hypertension arteriovenous fistulas overhydration Medicine (General) R5-920
spellingShingle	heart failure chronic kidney disease pulmonary hypertension arteriovenous fistulas overhydration Medicine (General) R5-920 Anna Adamska-Wełnicka Marcin Wełnicki Artur Mamcarz Ryszard Gellert Chronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges
description	Is advanced chronic kidney disease (CKD) a cardiac “no man’s land”? Chronic heart failure (HF) is widely believed to be one of the most serious medical challenges of the 21st century. Moreover, the number of patients with CKD is increasing. To date, patients with estimated glomerular filtration rates <30 mL/min/1.73 m<sup>2</sup> have frequently been excluded from large, randomized clinical trials. Although this situation is slowly changing, in everyday practice we continue to struggle with problems that are not clearly addressed in the guidelines. This literature review was conducted by an interdisciplinary group, which comprised a nephrologist, internal medicine specialists, and cardiologist. In this review, we discuss the difficulties in ruling out HF for patients with advanced CKD and issues regarding the cardiotoxicity of dialysis fistulas and the occurrence of pulmonary hypertension in patients with CKD. Due to the recent publication of the new HF guidelines by the European Society of Cardiology, this is a good time to address these difficult issues. Contrary to appearances, these are not niche issues, but problems that affect many patients.
format	article
author	Anna Adamska-Wełnicka Marcin Wełnicki Artur Mamcarz Ryszard Gellert
author_facet	Anna Adamska-Wełnicka Marcin Wełnicki Artur Mamcarz Ryszard Gellert
author_sort	Anna Adamska-Wełnicka
title	Chronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges
title_short	Chronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges
title_full	Chronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges
title_fullStr	Chronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges
title_full_unstemmed	Chronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges
title_sort	chronic kidney disease and heart failure–everyday diagnostic challenges
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/9b864181d5e947e0bcdc8902aaa09390
work_keys_str_mv	AT annaadamskawełnicka chronickidneydiseaseandheartfailureeverydaydiagnosticchallenges AT marcinwełnicki chronickidneydiseaseandheartfailureeverydaydiagnosticchallenges AT arturmamcarz chronickidneydiseaseandheartfailureeverydaydiagnosticchallenges AT ryszardgellert chronickidneydiseaseandheartfailureeverydaydiagnosticchallenges
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Chronic Kidney Disease and Heart Failure–Everyday Diagnostic Challenges

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