Heart Failure in Patients with Chronic Kidney Disease : A Systematic Integrative Review

Joint Authors

Nistor, Ionut
Covic, Adrian
Segall, Liviu

Source

BioMed Research International

Issue

Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-21, 21 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2014-05-15

Country of Publication

Egypt

No. of Pages

21

Main Subjects

Medicine

Abstract EN

Introduction.

Heart failure (HF) is highly prevalent in patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD) and is strongly associated with mortality in these patients.

However, the treatment of HF in this population is largely unclear.

Study Design.

We conducted a systematic integrative review of the literature to assess the current evidence of HF treatment in CKD patients, searching electronic databases in April 2014.

Synthesis used narrative methods.

Setting and Population.

We focused on adults with a primary diagnosis of CKD and HF.

Selection Criteria for Studies.

We included studies of any design, quantitative or qualitative.

Interventions.

HF treatment was defined as any formal means taken to improve the symptoms of HF and/or the heart structure and function abnormalities.

Outcomes.

Measures of all kinds were considered of interest.

Results.

Of 1,439 results returned by database searches, 79 articles met inclusion criteria.

A further 23 relevant articles were identified by hand searching.

Conclusions.

Control of fluid overload, the use of beta-blockers and angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, and optimization of dialysis appear to be the most important methods to treat HF in CKD and ESRD patients.

Aldosterone antagonists and digitalis glycosides may additionally be considered; however, their use is associated with significant risks.

The role of anemia correction, control of CKD-mineral and bone disorder, and cardiac resynchronization therapy are also discussed.

American Psychological Association (APA)

Segall, Liviu& Nistor, Ionut& Covic, Adrian. 2014. Heart Failure in Patients with Chronic Kidney Disease : A Systematic Integrative Review. BioMed Research International،Vol. 2014, no. 2014, pp.1-21.
https://search.emarefa.net/detail/BIM-509660

Modern Language Association (MLA)

Segall, Liviu…[et al.]. Heart Failure in Patients with Chronic Kidney Disease : A Systematic Integrative Review. BioMed Research International No. 2014 (2014), pp.1-21.
https://search.emarefa.net/detail/BIM-509660

American Medical Association (AMA)

Segall, Liviu& Nistor, Ionut& Covic, Adrian. Heart Failure in Patients with Chronic Kidney Disease : A Systematic Integrative Review. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-21.
https://search.emarefa.net/detail/BIM-509660

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-509660