Deteriorating renal function is often a complication of heart failure, and kidney disease itself can lead to cardiomyopathy. The combination of renal failure and heart failure is referred to as the cardiorenal syndrome; management of this syndrome requires the careful adjustment of medications.
- Increasingly, patients are being diagnosed with both heart and renal failure – the cardiorenal syndrome.
- Careful adjustment of cardiovascular medications allows treatment of heart failure without compromising kidney function.
- When managing patients with heart failure, be alert for signs of fluid retention and changes in blood pressure and always consider underlying renal disease.
- Important laboratory values to determine in patients with heart and renal failure include concentrations of electrolytes, estimated glomerular filtration rate and haemoglobin level.