Endothelin Concentration in Plasma of Healthy Dogs and Dogs With Congestive Heart Failure, Renal Failure, Diabetes Mellitus, and Hyperadrenocorticism

Introduction: Hospitalization is a complex health exposure and the period immediately following acute-care hospitalization is a high-risk state. Self-rated health is a subjective indicator of health and the long-term trends in self-rated health after hospitalization are not well characterized. Hypotheses: 1. Self-rated health decreases after hospitalization, with only partial recovery in the following years. 2. Poor self-rated health after hospitalization is associated with increased mortality. Methods: We analyzed 13,758 participants in the Atherosclerosis Risk in Communities (ARIC) Study with at least 1 hospitalization. Self-rated health was assessed annually and rated on a 4-point scale as follows: “Over the past year, compared to other people your age, would you say that your health has been excellent(=4), good(=3), fair(=2) or poor(=1)?" Using Cox regression and Kaplan-Meier methods, we evaluated mortality after hospitalization for myocardial infarction, congestive heart failure, cerebrovascular disease, pneumonia or diabetes mellitus with complications. Results: The mean self-rated health the year prior to hospitalization was 2.82 and the nadir of self-rated health was 2.62, occurring 1 year after hospitalization (Fig 1a). As compared to “excellent” self-rated health, “poor” self-rated health after any hospitalization was strongly associated with mortality (HR 4.65, 95% CI 4.27-5.07). Corresponding HRs (95% CI) for mortality post-hospitalization were 3.12 (2.30-4.22) for acute myocardial infarction, 3.08 (2.39-3.96) for congestive heart failure, 2.15 (1.43-3.23) for acute cerebrovascular disease, 4.54 (3.39-6.09) for pneumonia, and 3.32 (2.35-4.69) for diabetes mellitus with complications (Fig 1b). Conclusion: Mean self-rated health decreases significantly after hospitalization and worse self-rated health is associated with higher mortality. Self-rated health is an easily obtained patient centered outcome with valuable prognostic information.

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Influence of Diabetes Mellitus on the Left Ventricular Diastolic Dysfunction and Re-admission of Congestive Heart Failure

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2005.08.283 ◽

2005 ◽

Vol 11 (9) ◽

pp. S309

Author(s):

Takuya Kishi ◽

Akira Yamada ◽

Hiroshi Ando ◽

Atsushi Sobashima ◽

Yoshihiro Fukumoto ◽

...

Keyword(s):

Diabetes Mellitus ◽

Heart Failure ◽

Congestive Heart Failure ◽

Diastolic Dysfunction ◽

Left Ventricular Diastolic Dysfunction ◽

Left Ventricular ◽

Ventricular Diastolic Dysfunction

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Congestive Heart Failure With Rhabdomyolysis and Acute Renal Failure in a Manifesting Female Carrier of Duchenne Muscular Dystrophy With Duplication of Dystrophin Gene

Journal of Clinical Neuromuscular Disease ◽

10.1097/cnd.0b013e3181adcda7 ◽

2009 ◽

Vol 11 (1) ◽

pp. 49-53 ◽

Cited By ~ 9

Author(s):

Atchara Tunteeratum ◽

Rawiphan Witoonpanich ◽

Suchart Phudhichareonrat ◽

Jakris Eu-ahsunthornwattana ◽

Sarinee Pingsuthiwong ◽

...

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Renal Failure ◽

Acute Renal Failure ◽

Duchenne Muscular Dystrophy ◽

Muscular Dystrophy ◽

Dystrophin Gene ◽

Female Carrier

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Pathophysiology and Management of Congestive Heart Failure in Patients with Diabetes Mellitus

Medical Management of Diabetes and Heart Disease ◽

10.1201/b14062-14 ◽

2002 ◽

pp. 211-229

Author(s):

Martin LeWinter

Keyword(s):

Diabetes Mellitus ◽

Heart Failure ◽

Congestive Heart Failure ◽

Patients With Diabetes

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P1278DIALYSIS IN TREATMENT OF CONGESTIVE HEART FAILURE

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa142.p1278 ◽

2020 ◽

Vol 35 (Supplement_3) ◽

Author(s):

Vesna Ristovska

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Renal Failure ◽

Body Weight ◽

Extracellular Volume ◽

The Body ◽

Oedema Formation ◽

Water Excretion ◽

Before And After ◽

Sodium And Potassium

Abstract Background and Aims The advanced congestive heart failure (CHF), may provoke functional kidney disturbances with insufficient and resistant to conservative therapy water excretion. The treatment of the chronic renal failure (CRF) with active dialysis related to ultrafiltration (UF), may overcome the renal diuretics resistance with diuresis restoration and oedema elimination. The aim of the study was to define the indications for active, discontinued UF in setting of the CHF refractory to drugs, especially in the treatment of oedema. Method We investigated 12 patients, mean age 62,4+/-5,3 years, with incipient renal failure, but advanced congestive heart failure. Seven of them were males and 5 females. The indication for discontinued UF, was the severe expressed heart failure, reduced diuresis and initial renal insufficiency. In all investigated patients, before and after each UF procedure, the serum sodium and potassium, blood urea nitrogen (BUN), creatinin and osmolality were detected. The body weight, abdominal and crural parameters were noted before and after dialysis. Results The recovery was achieved in 10 patients with CHF, but 2 patients out of 12 have not demonstrated satisfactory response to UF. The biochemical features encountered to CHF patients suggest chronic hyponatriemia, hypokalemia and hypovolemia. Proteinuria range 1,2 to 3,6 g/l, was present in 6 patients. The clinical data were performed with oedema formation, reduced diuresis and dispnea. Mean UF rate achieved after several dialysis was 12,4+/- 7,6, lit. Conclusion Chronic heart failure in chronic renal patients, with severe oedemas is an indication for UF therapy, even if the values of BUN and creatinin are not increased. Reduction of the body weight and the extracellular volume, contribute for improved survival in these patients. However the risk of complications is high and not always with successful treatment.

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