Cardiorenal Syndrome
Conditions
Keywords
cardiorenal syndrome, decompensated heart failure, renal resistivity index, venous impedance index, kidney failure
Brief summary
Although the traditional determinant of renal dysfunction in heart failure was suggested as decreased cardiac output and renal hypo perfusion, recent studies have demonstrated the association of persistent systemic venous congestion and kidney dysfunction. Relief of the congestion has demonstrated to improve renal functions in decompensated heart failure. The current trial was set up to investigate the changes of renal venous impedance and renal arteriolar resistivity indices with diuretic therapy, in patients with congestive renal failure. The investigators asked whether measurement of renal venous impedance index or renal arteriolar resistivity index can guide the practice of diuretic therapy.
Interventions
Decongestant therapy for decompensated heart failure which may be administrated as intravenous bolus or infusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Decompensated heart failure * Elevated serum creatinine levels on admission
Exclusion criteria
* Atrial fibrillation * Obstructive uropathy * Patients with ascites * Patients who exposed the potential nephrotoxic drugs in the previous week (metformin, antibiotics, chemotherapeutics, iodinated contrast agents and non-steroidal anti-inflammatory agents) * Patients who needed positive inotropic agents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Alterations in the renal arterial resistivity index | during hospitalization, an expected average of 4 weeks. | Participants will be followed for the duration of hospital stay, an expected average of 4 weeks. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Alterations in the renal venous impedance index | during hospitalization, an expected average of 4 weeks. | Participants will be followed for the duration of hospital stay, an expected average of 4 weeks. |
Countries
Turkey (Türkiye)