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February 23, 2019ESC Heart FailureOpen Access

Worsening Renal Failure in Patients with Acute Heart Failure: The Importance of Cardiac Biomarkers

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Key result

Serum heart-type fatty acid-binding protein (s-HFABP) levels independently predicted the development of true worsening renal failure in acute heart failure (OR 5.472; 95% CI 2.729-10.972; P≤0.001).

Why the study?

True worsening renal failure is linked to poor prognosis in acute heart failure, prompting the need for a biomarker strategy to predict its occurrence.

Does serum heart-type fatty acid-binding protein (s-HFABP) predict true worsening renal failure and long-term outcomes in patients with acute heart failure?

Comparison

Non-WRF vs pseudo-WRF vs true-WRF groups

Design

Observational cohort study

Follow-up

1000 days

Authors

ASAkihiro ShirakabeHeart Failure / CardiomyopathyNHNoritake HataChiba Hokusou HospitalNKNobuaki KobayashiChiba Hokusou Hospital

Discussion

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Member takes

Implication

May identify acute heart failure patients at renal risk on admission; leaves open incremental value over standard predictors.

Study Design

Type

Observational (n=281)

Structured PICO

Does serum heart-type fatty acid-binding protein (s-HFABP) predict true worsening renal failure and long-term outcomes in patients with acute heart failure?

P
Population
281 patients with acute heart failure evaluated for the development of true worsening renal failure during the first 7 days and followed for up to 1000 days.
E
Exposure
Measurement of serum heart-type fatty acid-binding protein (s-HFABP) within 30 min of admission
O
Outcome
Development of true worsening renal failure (WRF) and 1000-day mortality and heart failure eventssurrogate

Main Result

Odds Ratio: 5.472 (95% CI 2.729–10.972)

p-value: p=≤ 0.001

Serum heart-type fatty acid-binding protein (s-HFABP) measured on admission can predict the development of true worsening renal failure and subsequent poor prognosis in patients with acute heart failure.

Cite This Study

Shirakabe et al. (2019) conducted an observational in Acute heart failure (n=281). Serum heart-type fatty acid-binding protein (s-HFABP) vs. Lower s-HFABP levels was evaluated on True worsening renal failure (WRF) (OR 5.472, 95% CI 2.729-10.972, p=≤ 0.001). Serum heart-type fatty acid-binding protein (s-HFABP) levels independently predicted the development of true worsening renal failure in acute heart failure (OR 5.472; 95% CI 2.729-10.972; P≤0.001).

synapsesocial.com/papers/6a8c1921e3303121f0f44950https://doi.org/10.1002/ehf2.12414

Topics

Heart failureHFrEF treatment
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Worsening Renal Function in Patients Hospitalised for Acute Heart Failure: Clinical Implications and Prognostic Significance2008 · 380 citations
  2. 2Prevalence and impact of worsening renal function in patients hospitalized with decompensated heart failure: results of the prospective outcomes study in heart failure (POSH)2006 · 339 citations
  3. 3Ischemic biomarker heart-type fatty acid binding protein (hFABP) in acute heart failure - diagnostic and prognostic insights compared to NT-proBNP and troponin I2015 · 62 citations
  4. 4Acute Kidney Injury and Outcomes in Acute Decompensated Heart Failure: Evaluation of the RIFLE Criteria in an Acutely Ill Heart Failure Population2009 · 104 citations
  5. 52016 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure2016 · 5,933 citations