“Permissive AKI” with treatment of heart failure

Chirag R. Parikh; Steven G. Coca

doi:10.1016/j.kint.2019.07.003

“Permissive AKI” with treatment of heart failure

Chirag R. Parikh, Steven G. Coca

School of Medicine

Research output: Contribution to journal › Comment/debate › peer-review

2 Scopus citations

Abstract

Renin–angiotensin–aldosterone system inhibitors have proven clinical benefit in management of patients with heart failure with reduced ejection fraction. However, there are no guidelines to manage decline in kidney function that occurs with initiation and titration of renin–angiotensin–aldosterone system agents during management of heart failure. We discuss the complex interplay of kidney function and heart failure in the presence of renin–angiotensin–aldosterone system agents and suggest a clinical algorithm for management of acute decline in kidney function.

Original language	English (US)
Pages (from-to)	1066-1068
Number of pages	3
Journal	Kidney international
Volume	96
Issue number	5
DOIs	https://doi.org/10.1016/j.kint.2019.07.003
State	Published - Nov 2019

ASJC Scopus subject areas

Nephrology

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10.1016/j.kint.2019.07.003

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abstract = "Renin–angiotensin–aldosterone system inhibitors have proven clinical benefit in management of patients with heart failure with reduced ejection fraction. However, there are no guidelines to manage decline in kidney function that occurs with initiation and titration of renin–angiotensin–aldosterone system agents during management of heart failure. We discuss the complex interplay of kidney function and heart failure in the presence of renin–angiotensin–aldosterone system agents and suggest a clinical algorithm for management of acute decline in kidney function.",

author = "Parikh, {Chirag R.} and Coca, {Steven G.}",

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AU - Coca, Steven G.

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AB - Renin–angiotensin–aldosterone system inhibitors have proven clinical benefit in management of patients with heart failure with reduced ejection fraction. However, there are no guidelines to manage decline in kidney function that occurs with initiation and titration of renin–angiotensin–aldosterone system agents during management of heart failure. We discuss the complex interplay of kidney function and heart failure in the presence of renin–angiotensin–aldosterone system agents and suggest a clinical algorithm for management of acute decline in kidney function.

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“Permissive AKI” with treatment of heart failure

Abstract

ASJC Scopus subject areas

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