Ahmed Ali, Campbell Ruth C
University of Alabama at Birmingham, Birmingham, AL 35294-2041, USA.
Heart Fail Clin. 2008 Oct;4(4):387-99. doi: 10.1016/j.hfc.2008.03.008.
Heart failure is common and is associated with a poor prognosis. Chronic kidney disease is common in heart failure and shares many risk factors with heart failure, such as age, hypertension, diabetes, and coronary artery disease. Over half of all patients who have heart failure may have moderate-to-severe chronic kidney disease. The presence of chronic kidney disease is associated with increased morbidity and mortality, yet it is also associated with underuse of evidence-based heart failure therapy that may reduce morbidity and mortality. Understanding the epidemiology and outcomes of chronic kidney disease in heart failure is essential to ensure proper management of these patients.
心力衰竭很常见，且预后较差。慢性肾脏病在心力衰竭患者中很常见，与心力衰竭有许多共同的危险因素，如年龄、高血压、糖尿病和冠状动脉疾病。所有心力衰竭患者中，超过一半可能患有中度至重度慢性肾脏病。慢性肾脏病的存在与发病率和死亡率增加相关，但同时也与可能降低发病率和死亡率的循证心力衰竭治疗未充分应用有关。了解心力衰竭患者中慢性肾脏病的流行病学和转归对于确保这些患者得到恰当管理至关重要。
