Related Experiment Video
Updated: Feb 3, 2026
09:20
Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
7.1K
Renal Venous Pattern: A New Parameter for Predicting Prognosis in Heart Failure Outpatients
Agata Puzzovivo1, Francesco Monitillo2, Pietro Guida3
1Cardiology Unit, IRCCS istituto tumori "Giovanni Paolo II" di Bari, Italia. agatapuzzovivo@yahoo.it.
Journal of Cardiovascular Development and Disease
|November 8, 2018
Summary
Doppler venous patterns in renal congestion can predict worsening heart failure in chronic heart failure patients. These patterns offer valuable insights for managing cardio-renal syndrome and improving patient prognosis.
Area of Science:
- Cardiology
- Nephrology
- Medical Imaging
Background:
- Renal congestion is a key factor in chronic heart failure (CHF) progression and poor prognosis.
- Understanding renal congestion's impact is crucial for managing cardio-renal syndrome.
Purpose of the Study:
- To determine if Doppler venous patterns indicating renal congestion can predict heart failure progression in CHF patients.
- To assess the utility of these patterns in clinical practice.
Main Methods:
- Outpatients with stable CHF underwent clinical evaluation, lab tests, echocardiogram, and renal echo-Doppler.
- Pulsed Doppler assessed interlobular renal vein flow during tele-expiratory phase, categorizing patterns (A-E) based on flow fluctuations.
- Events included death, heart transplantation, or hospitalization for heart failure worsening.
Main Results:
- During a median 38-month follow-up, 126 patients experienced an event.
- Venous patterns C, D, and E were significantly associated with adverse events in univariate analysis.
- Patterns C and D/E remained independent predictors of events in multivariate analysis, improving risk prediction.
Conclusions:
- Doppler venous patterns reflecting renal congestion independently predict heart failure progression in CHF patients.
- These patterns can enhance clinical assessment and risk stratification for patients with cardio-renal syndrome.
More Related Videos
07:49Author Spotlight: Investigating HR-Dependent Cardiac Function in Mouse Models Through a Novel Atrial-Pacing Approach
Published on: July 21, 2023
2.0K
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
2.9K
Related Concept Videos
01:11Renal Failure: Dose Adjustments
478
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
478
01:29Heart Failure II: Pathophysiology
929
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
929
01:17Pathophysiology of Heart Failure
3.7K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
3.7K
01:27Heart Failure I: Introduction
886
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
886
01:22Heart Failure VI: Adjunct Therapies
340
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
340
01:22Heart Failure Drugs: Diuretics
971
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
971