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Titolo	OPTIMAL MANAGEMENT OF CHRONIC HEART FAILURE IN PATIENTS WITH CHRONIC KIDNEY DISEASE
Autore	Donah Zachariah1, Philip A. Kalra2, Paul R. Kalra1 - 1Department of Cardiology, Portsmouth Hospitals NHS Trust, Portsmouth, UK - 2Department of Nephrology, Salford Royal Hospital, Salford, UK
Referenza	Journal of Renal Care 2009; 35 (1): 2-10
Contenuto	Chronic kidney disease and chronic heart failure are closely interlinked; an abnormality in one system adversely impacts upon the function of the other. Despite the wealth of evidence available for beneficial treatment strategies in chronic heart failure, the prognosis remains poor and optimum therapy under-utilised. The applicability of proven therapies to patients with comorbidity remains a particular challenge, especially since marked renal impairment has often been an exclusion criteria in major studies. In this article we discuss the epidemiology and pathophysiology of the two conditions and then focus on the aspects of treatment most pertinent to those patients with heart failure patients and concomitant chronic kidney disease.
Data	18.03.2009

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