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.