Insuficiencia renal en pacientes cardiológicos: buscar para encontrar

Background: Chronic kidney disease is a major health problem since it is associated with a high cardiovascular risk, total morbidity and mortality, increasing prevalence and high cost treatment. Aim: To assess the frequency of chronic kidney disease among patients consulting in a cardiology clinic....

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Autores principales:	Gentille Lorente,Delicia Inés, Salvadó Usach,Teresa
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2015
Materias:	Atherosclerosis Cardiovascular diseases Renal insufficiency, chronic
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900002
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spelling	oai:scielo:S0034-988720150009000022015-10-22Insuficiencia renal en pacientes cardiológicos: buscar para encontrarGentille Lorente,Delicia InésSalvadó Usach,Teresa Atherosclerosis Cardiovascular diseases Renal insufficiency, chronic Background: Chronic kidney disease is a major health problem since it is associated with a high cardiovascular risk, total morbidity and mortality, increasing prevalence and high cost treatment. Aim: To assess the frequency of chronic kidney disease among patients consulting in a cardiology clinic. Material and Methods: Cross-sectional assessment of 649 patients attended at a cardiology clinic. Demographic, clinical, electrocardiographic, echocardiographic and laboratory variables were registered. Patients were considered to have a kidney failure when their estimated glomerular filtration rate was < 60 ml/min/1.73 m² according to the Modification of Diet in Renal Disease (MDRD) formula. Kidney failure was considered chronic if this alteration lasted ≥ 3 months and hidden when serum creatinine levels were normal. Results: The frequency of kidney failure was 20.8% (28.4% in patients ≥ 65 years old). The mean age of patients with the disease was 71.5 ± 9.1 years and 52% were women. Eighty seven percent were in stage 3, 10% in stage 4 and 3% in stage 5. Among patients with kidney failure, in 114 (84%) it was chronic and in 28%, hidden. The latter was observed almost exclusively in women with creatinine levels of approximately 1 mg/dl. Hypertension (Odds ratio (OR) 4.2), age (OR 1.1), ventricular ejection fraction (OR 0.97) and low hemoglobin (OR 0.735) were the risk factors for kidney failure detected in the multivariate analysis. Conclusions: The frequency of kidney failure (chronic or hidden) was high in this group of cardiologic patients. Most patients had a mild to moderate failure and the risk factors were hypertension, age, low ventricular ejection fraction and low hemoglobin levels.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.9 20152015-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900002es10.4067/S0034-98872015000900002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Atherosclerosis Cardiovascular diseases Renal insufficiency, chronic
spellingShingle	Atherosclerosis Cardiovascular diseases Renal insufficiency, chronic Gentille Lorente,Delicia Inés Salvadó Usach,Teresa Insuficiencia renal en pacientes cardiológicos: buscar para encontrar
description	Background: Chronic kidney disease is a major health problem since it is associated with a high cardiovascular risk, total morbidity and mortality, increasing prevalence and high cost treatment. Aim: To assess the frequency of chronic kidney disease among patients consulting in a cardiology clinic. Material and Methods: Cross-sectional assessment of 649 patients attended at a cardiology clinic. Demographic, clinical, electrocardiographic, echocardiographic and laboratory variables were registered. Patients were considered to have a kidney failure when their estimated glomerular filtration rate was < 60 ml/min/1.73 m² according to the Modification of Diet in Renal Disease (MDRD) formula. Kidney failure was considered chronic if this alteration lasted ≥ 3 months and hidden when serum creatinine levels were normal. Results: The frequency of kidney failure was 20.8% (28.4% in patients ≥ 65 years old). The mean age of patients with the disease was 71.5 ± 9.1 years and 52% were women. Eighty seven percent were in stage 3, 10% in stage 4 and 3% in stage 5. Among patients with kidney failure, in 114 (84%) it was chronic and in 28%, hidden. The latter was observed almost exclusively in women with creatinine levels of approximately 1 mg/dl. Hypertension (Odds ratio (OR) 4.2), age (OR 1.1), ventricular ejection fraction (OR 0.97) and low hemoglobin (OR 0.735) were the risk factors for kidney failure detected in the multivariate analysis. Conclusions: The frequency of kidney failure (chronic or hidden) was high in this group of cardiologic patients. Most patients had a mild to moderate failure and the risk factors were hypertension, age, low ventricular ejection fraction and low hemoglobin levels.
author	Gentille Lorente,Delicia Inés Salvadó Usach,Teresa
author_facet	Gentille Lorente,Delicia Inés Salvadó Usach,Teresa
author_sort	Gentille Lorente,Delicia Inés
title	Insuficiencia renal en pacientes cardiológicos: buscar para encontrar
title_short	Insuficiencia renal en pacientes cardiológicos: buscar para encontrar
title_full	Insuficiencia renal en pacientes cardiológicos: buscar para encontrar
title_fullStr	Insuficiencia renal en pacientes cardiológicos: buscar para encontrar
title_full_unstemmed	Insuficiencia renal en pacientes cardiológicos: buscar para encontrar
title_sort	insuficiencia renal en pacientes cardiológicos: buscar para encontrar
publisher	Sociedad Médica de Santiago
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900002
work_keys_str_mv	AT gentillelorentedeliciaines insuficienciarenalenpacientescardiologicosbuscarparaencontrar AT salvadousachteresa insuficienciarenalenpacientescardiologicosbuscarparaencontrar
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Insuficiencia renal en pacientes cardiológicos: buscar para encontrar

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