Heart failure with preserved ejection fraction in patient with chronic kidney disease

Abstract

Patients with chronic kidney disease and heart  failure have already become the clinical and social  issue of great importance. Moreover, the improvement  of health care and aging of the society  contribute to the escalation of the scope of the  issue. Every patient with chronic kidney disease  should be considered at increased cardiovascular  risk. Additionally, in patients with heart failure and  chronic kidney disease worse prognosis should be  taken into account. The treatment of such patients  includes the elimination of reversible causes of the  diseases and the prevention of their progression  with optimal risk factors control. In patients with  heart failure and coexisting chronic kidney disease  diagnostic work-up and treatment are difficult and  require much attention, multi-professional approach  with constant cooperation of nephrologist  and cardiologist, which in many cases results in  stable clinical course of the diseases over the  years. We present a case of heart failure with preserved  ejection fraction. We also presented diagnostic  and therapeutic strategy in this patient.