Prevalence and Predictor of Cardio Renal Syndrome in Dilated Cardiomyopathy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Around 50 % of deaths in patients with renal failure is heart failure caused by Cardiovascular Disease. Epidemiology of the diseases affecting the heart and kidney is necessary for understanding various types of cardio renal syndrome. It is useful to calculate the burden of the disease in the community, natural history, morbidity, risk factors and mortality of Cardiorenal syndrome. We aimed to study the clinical profile of dilated cardiomyopathy patients in heart failure presenting as cardio renal syndrome and to assess the predictors of mortality in dilated cardiomyopathy heart failure patients with cardio renal syndrome.54 known dilated cardiomyopathy patients admitted for heart failure who show elevated renal parameters without prior renal dysfunction were enrolled in the study. Results: Mean Hb at admission for pts with readmissions was 10.23 grams /dl .Mean level. of e GFR associated with increased mortality was 23.55 ml/min. Patients with Oliguria at admission had 42.1 % mortality .Patients with oliguria had 68.42 % readmissions . Mean level of e GFR associated with increased mortality was23.55 ml/min, Mortality was 20 %. Mortality was more in patients above 60Years, who presented with NYHA class IV symptoms on admission, oliguria at Presentation and left ventricular ejection fraction less than 30 %. Conclusion: Cardiomyopathy patients with SHT and CAD have GFR less than 30ml/minute. patients GFR less than 30 ml/minute presented with NYHA class IV symptoms. Readmissions was more when e GFR less than 30 ml/minute, known hypertensive, previous myocardial infarction and cardiomyopathy, anemic patients and age above 50. There was no correlation between LV systolic function and readmissions.The predictors of mortality in cardiomyopathy developing cardio renal syndrome were age above 60 years, cardiomyopathy with previous history of MI, NYHA class IV symptoms on admission, oliguria and LVEF less than 30 % at the time of admission.
Authors and Affiliations
A. Mohamed Rafic Babu, P. Thirumurugan
Keywords
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- EP ID EP256168
- DOI 10.9790/0853-1609062429
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