晚期心力衰竭的肾脏替代疗法--时机、方式和临床考虑因素。

IF 6.7 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiac Failure Pub Date : 2025-05-01 DOI:10.1016/j.cardfail.2024.09.014

RAMZI IBRAHIM MD , CHELSEA TAKAMATSU MD , ABDULLA ALABAGI MD , HOANG NHAT PHAM MD , BIJIN THAJUDEEN MD , SEVAG DEMIRJIAN MD , W.H. WILSON TANG MD , PREETHI WILLIAM MD

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引用次数: 0

摘要

急性肾功能不全常见于晚期心力衰竭患者，对预后有重大影响，往往会导致较差的预后和较高的死亡率。它可以改变左心室辅助装置（LVAD）和心脏移植候选者的决策过程。在这种情况下，肾脏替代疗法（KRT）是一种重要的干预措施，但需要仔细考虑时机、各种类型的 KRT 模式、患者的个人偏好和具体情况。本综述讨论了晚期心力衰竭患者 KRT 的复杂性，研究了如何优化时机并在各种 KRT 方式中做出选择。它还详细讨论了临床医生在治疗这一脆弱患者群体时可能面临的独特临床情况。

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Kidney Replacement Therapies in Advanced Heart Failure: Timing, Modalities and Clinical Considerations

Acute kidney dysfunction is commonly encountered in patients with advanced heart failure (HF), and it carries significant prognostic implications, often leading to poorer outcomes and increased mortality rates. It can alter the course of decision making for left ventricular assist device (LVAD) and cardiac transplantation candidacy. Kidney replacement therapies (KRTs) offer a critical intervention in this context but require careful consideration of timing, various types of KRT modalities and individual patients’ preferences and circumstances. This review discusses the intricacies of KRT in advanced HF, examining how to optimize timing and choose among the various KRT modalities. It also provides a detailed discussion of the unique clinical scenarios that clinicians may face when treating this vulnerable patient group.

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来源期刊

Journal of Cardiac Failure 医学-心血管系统

CiteScore

7.80

自引率

8.30%

发文量

653

审稿时长

21 days

期刊介绍： Journal of Cardiac Failure publishes original, peer-reviewed communications of scientific excellence and review articles on clinical research, basic human studies, animal studies, and bench research with potential clinical applications to heart failure - pathogenesis, etiology, epidemiology, pathophysiological mechanisms, assessment, prevention, and treatment.