Is worsening renal function an independent determinant of outcomes in patients with acute heart failure?
Worsening renal function in acute heart failure is only prognostically ominous when accompanied by persistent congestion.
WRF alone, when detected using serial serum creatinine measurements, is not an independent determinant of outcomes in patients with AHF. It has an additive prognostic value when it occurs in patients with persistent signs of congestion.
Metra et al. (Wed,) studied this question.
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