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The impact of anaemia and kidney function in congestive heart failure and preserved systolic function


, : The impact of anaemia and kidney function in congestive heart failure and preserved systolic function. Nephrology, Dialysis, Transplantation 20(5): 915-919

Background. The importance of anaemia in chronic heart failure was highlighted recently by different cohort studies. The aim of this study was to assess the prevalence of anaemia and its relationship to renal function, left ventricular function and symptoms of heart failure.Methods. We surveyed cases of patients admitted to the Department of Cardiology during 22 consecutive months. Laboratory measurements, blood pressure and echocardiographic parameters were obtained with standardized methods.Results. Out of a total number of 2941 patients, 238 patients (8.1%) had haemoglobin values < 11g/dl. There was a positive association of anaemia with the symptoms of heart failure with a lowering of the median haemoglobin from 14.2g/dl [New York Heart Association (NYHA) I] to 12.9 g/dl (NYHA IV, P < 0.001). Interestingly, anaemia was not associated with left ventricular function or any left ventricular parameters. Symptoms of heart failure, however, were associated with kidney function. The estimated glomerular filtration rate (GFR) was 82ml/min at NYHA I and 59 ml/min at NYHA IV, P < 0.05. There was an association between impaired renal function and haemoglobin values. Haemoglobin was 14.2g/dl in the group with normal renal function and 11.1 g/dl in the group with a GFR < 25ml/min (P < 0.001). Even in patients with normal renal function (878 patients, GFR > 85 ml/min), we still found an association of anaemia with the symptoms of heart failure. Haemoglobin was 14.5 g/dl at NYHA I and 13.4 g/dl at NYHA IV, P < 0.0001.Conclusion. Anaemia is found in 8.1% of patients admitted to cardiology service. Anaemia was clearly associated with symptoms of congestive heart failure even in patients with normal renal function. Anaemia was not associated with left ventricular function.

US$19.90

PMID: 15741202

DOI: 10.1093/ndt/gfh753


Other references

Zogno, M.A.elia; Miglino, M.A.gelica; Oliveira, M.F.anco, 2004: Biochemical analysis of fetal fluids and cytology of the amniotic fluid of female moco Kerodon rupestris Analise bioquimica dos liquidos fetais e citologia do fluido amniotico da femea de Moco Kerodon rupestris. The aim of the present work was to study certain biochemical characteristics of fetal fluids of the female moco (Kerodon rupestris), by assesment of the following parameters present in the amniotic and allantoic fetal fluids: osmolarity, pH, calci...

Holowachuk E.W.; Ruhoff M.; Stoltenborg J.K., 1992: Inhibition of dendritic cell function with mouse anti rat dendritic cell specific monoclonal antibodies. FASEB Journal 6(5): A1981

Musi, L.; D'Agostino, S.; Cimaglia, M.L.; Belloli, G., 1994: Nonpalpable testis: current diagnostic and therapeutic trends. Management of the nonpalpable testis often represent a significant diagnostic and therapeutic challenge for the pediatric surgeon. A variety of imaging studies may locate nonpalpable testis and include ultrasound, CT, MRI, gonadal vasography, and...

Leymaster, G.R., 1980: Recertification: will we retreat?. New England Journal of Medicine 302(7): 411-411

Strollo, M., 1966: Psychotechnics and preventive industrial medicine and their applications to the field of military aviation. Rivista di Medicina Aeronautica E Spaziale 29: Suppl:277-87

Gornall, J.; Villani, R.G., 1996: Short-term changes in body composition and metabolism with severe dieting and resistance exercise. The primary aim was to investigate whether the reduction in resting metabolic rate (RMR) and fat free mass (FFM) associated with a short-term very low kilojoule diet (VLKD) is altered by concurrent resistance exercise. Twenty overweight, premenopa...

Kirchhoff H., 1967: The quaternary ammonium compounds and their inactivating effect on viruses. Gesundheitswesen und Desinfektion 59(12): 171-180

Jorgensen, K., 1997: Presence of Bacillus cereus in market milk products stored at 7 degrees C until the last day of shelf-life. The presence of B. cereus was investigated over a 1-year period [date not given] in 458 samples of low-fat milk, whole milk and cream from 3 Danish dairies of differing size and location after storage at 7 degrees C. Raw milk (115 samples) from th...

Anonymous, 1970: The nation's hospitals: a statistical profile. Hospitals 44(15): Suppl 2:463+-Suppl 2:463+

Matsumoto Ichiro, 1994: Chromite deposits in the Bushveld Complex, South Africa. Chishitsu News 1994(7): 41-46