Value of renal vascular doppler sonography in cardiorenal syndrome type 1

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dc.authorid0000-0003-0230-6575
dc.authorid0000-0003-1516-1811
dc.authorid0000-0003-2995-8792
dc.authorid0000-0002-4281-0867
dc.authorid0000-0003-1919-3183
dc.authorid0000-0001-5825-8627
dc.authorid0000-0002-4951-6716
dc.contributor.authorÇakal, Beytullah
dc.contributor.authorÖzcan, Özgür Ulaş
dc.contributor.authorOmaygenç, Mehmet Onur
dc.contributor.authorKaraca, İbrahim Oğuz
dc.contributor.authorKızılırmak, Filiz
dc.contributor.authorGüneş, Hacı Murat
dc.contributor.authorBoztosun, Bilal
dc.date.accessioned2021-02-08T12:11:46Z
dc.date.available2021-02-08T12:11:46Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractObjectives Worsening of renal function in a patient with acute decompensated heart failure is called cardiorenal syndrome (CRS) type 1. Recent studies have shown an association of persistent systemic venous congestion with renal dysfunction. This trial was set up to investigate the changes of renal Doppler parameters with diuretic therapy in patients with CRS type 1. Methods Cases of CRS type 1 were identified among patients hospitalized for decompensated heart failure. Serial measurements of the renal venous impedance index (VII) and arterial resistive index (ARI) were calculated by pulsed wave Doppler sonography. Results A total of 30 patients who had creatinine improvement with diuresis (group 1) and 34 patients without any improvement (group 2) were analyzed. Patients in group 1 had higher median VII and ARI (VII, 0.86 versus 0.66;P < .001; ARI, 0.78 versus 0.65;P < .001) on admission. A high ARI on admission (odds ratio, 6.25; 95% confidence interval, 1.84-14.3;P= .003) predicted the improvement of serum creatinine levels with diuretic therapy independent of confounding factors in patients with CRS type 1. Conclusions Renal vascular Doppler parameters might offer guidance on the diagnostic and therapeutic strategies in prescribing decongestive therapy for decompensated heart failure.
dc.identifier.citationÇakal, B., Özcan, Ö. U., Omaygenç, M. O., Karaca, İ. O., Kızılırmak, F., Güneş, H. M. ... Boztosun, B. (2021). Value of renal vascular doppler sonography in cardiorenal syndrome type 1. Journal of Ultrasound in Medicine, 40(2), 321-330. https://doi.org/10.1002/jum.15404
dc.identifier.doi10.1002/jum.15404
dc.identifier.endpage330
dc.identifier.issn0278-4297
dc.identifier.issn1550-9613
dc.identifier.issue2
dc.identifier.scopusqualityQ2
dc.identifier.startpage321
dc.identifier.urihttps://doi.org/10.1002/jum.15404
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6541
dc.identifier.volume40
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of Ultrasound in Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectDecompensated Heart Failure
dc.subjectDiuretics
dc.subjectRenal Resistive Index
dc.subjectVenous Impedance Index
dc.titleValue of renal vascular doppler sonography in cardiorenal syndrome type 1
dc.typeArticle

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