Relationship between severity of mitral regurgitation and renal function in patients with ischemic chronic heart failure

Authors

  • D. A. Lashkul Zaporizhzhia State Medical University,

DOI:

https://doi.org/10.14739/2310-1210.2015.5.53742

Keywords:

Heart Failure, Mitral Regurgitation, Kidney

Abstract

Mitral regurgitation (MR) - frequent complication of prolonged and severe coronary artery disease, left ventricular systolic dysfunction (LV) of different genesis and plays an important role in the onset and progression of chronic heart failure (CHF).

Aim. In order to identify relationships between severity of mitral regurgitation and renal function 318 patients with ischemic chronic heart failure were included.

Methods and results. Biochemical analysis was used for study of the filtration capacity of the kidneys, echocardiography – the structural and functional parameters of the heart. It was established that the increase in severity of mitral regurgitation sweeping in chronic heart failure accompanied by a decline of kidney function, left ventricular ejection fraction, increase in left atrial volume index, increased systolic pulmonary artery pressure and E/Eann ratio increase.

Conclusions. This indicates that mitral regurgitation formation of on the background of abnormal left ventricular remodeling in patients with ischemic chronic heart failure is associated with a reduction of kidney function and needs more attention in order to be detected at an earlier stage.

References

Asgar, A., Mack, M., & Stone, G. (2015). Secondary Mitral Regurgitation in Heart Failure. Journal Of The American College Of Cardiology, 65(12), 1231–1248. doi:10.1016/j.jacc.2015.02.009.

Nouri, M., Tokaldany, M., Shahrzad, M., Mardanloo, A., Ahmadi, S., Roomi, Z., & Sadeghian, H. (2013). Echocardiographic Determinants of Ischemic Mitral Regurgitation. J Card Surg, 28(4), 359–365. doi:10.1111/jocs.12145.

Cioffi, G., Tarantini, L., De Feo, S., Pulignano, G., Del Sindaco, D., Stefenelli, C., et al. (2005). Functional mitral regurgitation predicts 1-year mortality in elderly patients with systolic chronic heart failure. European Journal Of Heart Failure, 7(7), 1112–1117. doi:10.1016/j.ejheart.2005.01.016.

Damman, K., Navis, G., Voors, A., Asselbergs, F., Smilde, T., & Cleland, J. et al. (2007). Worsening Renal Function and Prognosis in Heart Failure: Systematic Review and Meta-Analysis. Journal Of Cardiac Failure, 13(8), 599–608. doi:10.1016/j.cardfail.2007.04.008.

Waldum, B., Westheim, A., Sandvik, L., Flønæs, B., Grundtvig, M., & Gullestad, L. et al. (2010). Renal Function in Outpatients With Chronic Heart Failure. Journal Of Cardiac Failure, 16(5), 374–380. doi:10.1016/j.cardfail.2010.01.001.

Masson, S., Latini, R., Milani, V., Moretti, L., Rossi, M., & Carbonieri, E. et al. (2009). Prevalence and Prognostic Value of Elevated Urinary Albumin Excretion in Patients With Chronic Heart Failure: Data From the GISSI-Heart Failure Trial. Circulation: Heart Failure, 3(1), 65–72. doi:10.1161/circheartfailure.109.881805.

House, A., Haapio, M., Lassus, J., Bellomo, R., & Ronco, C. (2010). Therapeutic Strategies for Heart Failure in Cardiorenal Syndromes. American Journal Of Kidney Diseases, 56(4), 759–773. doi:10.1053/j.ajkd.2010.04.012.

Voronkov, L. G., Amosova, K. M., Bahrii, A. E., Dziak, H. V., Diadyk, O. I., Zharinov, O. Y., et al. (2012). Rekomendatsii z diahnostyky ta likuvannia khronichnoi sertsevoi nedostatnosti [Guidelines for the diagnosis and treatment of chronic heart failure]. Sertseva nedostatnist, 3, 60–96 [in Ukrainian].

(2013). Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney International Supplements, 3(1). doi:10.1038/kisup.2012.73.

Lancellotti, P., Moura, L., Pierard, L., Agricola, E., Popescu, B., Tribouilloy, C., et al. (2010). European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 2: mitral and tricuspid regurgitation (native valve disease). European Journal Of Echocardiography, 11(4), 307–332. doi:10.1093/ejechocard/jeq031.

Kaneko, H., Suzuki, S., Uejima, T., Kano, H., Matsuno, S., Takai, H., et al. (2014). Functional mitral regurgitation and left ventricular systolic dysfunction in the recent era of cardiovascular clinical practice, an observational cohort study. Hypertension Research, 37(12), 1082–1087. doi:10.1038/hr.2014.122.

Bruch, C., Reinecke, H., Rothenburger, M., Scheld, H., Whalley, G., Stypmann, J., et al. (2007). Transmitral Flow Patterns and the Presence of Chronic Kidney Disease Provide Independent and Incremental Prognostic Information in Patients with Heart Failure and Systolic Dysfunction. Journal Of The American Society Of Echocardiography, 20(8), 989–997. doi:10.1016/j.echo.2007.01.013.

Kim, M., Kim, B., Lee, J., Kim, J., Han, B., Choi, S., & Yang, J. (2013). Tissue Doppler-derived E/e' ratio as a parameter for assessing diastolic heart failure and as a predictor of mortality in patients with chronic kidney disease. Korean J Intern Med, 28(1), 35. doi:10.3904/kjim.2013.28.1.35.

Samad, Z., Shaw, L., Phelan, M., Ersboll, M., Risum, N., Al-Khalidi, H., et al. (2015). Management and outcomes in patients with moderate or severe functional mitral regurgitation and severe left ventricular dysfunction. Eur Heart J, ehv343. doi:10.1093/eurheartj/ehv343.

How to Cite

1.
Lashkul DA. Relationship between severity of mitral regurgitation and renal function in patients with ischemic chronic heart failure. Zaporozhye medical journal [Internet]. 2015Nov.20 [cited 2024Apr.23];17(5). Available from: http://zmj.zsmu.edu.ua/article/view/53742

Issue

Section

Original research