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Health, Medicine, Nursing
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Discussion: Heart Failure

Essay Instructions:

In response to the attached essay, please answer the question below. Thank you.
If this patient were found to also have advanced chronic kidney disease (CKD), how would that impact the pathophys of his heart failure? Briefly and if at all, would it change the management?

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Heart failure (HF) is common in patients diagnosed with Chronic Kidney Disease (CKD), increasing the mortality rate among its patients. Recent studies indicate that heart failure is a notable risk factor for kidney disease (Kalra, N.D). The heart interconnects with the kidney for it sends a continuous supply of oxygenated blood throughout the body while the kidney's work is to filter blood, remove waste such as ammonia in the form of urine; regulating salt and water levels to control blood pressure. Accordingly, if the heart no longer pumps well, blood congestion occurs, creating a buildup in pressure within the main vein, and ends in decreased oxygenated blood supply in the kidneys. Thence, it is imperative to check for kidney function - the creatinine levels for impairments during a Heart Failure diagnosis.
Pathophysiological influence of CKD on HF
HF emergency also fluctuates depending on the extent of CKD and the modality of kidney transplantation therapy. A diminished estimated glomerular filtration rate (eGFR) is akin to a heightened risk of cardiovascular mortality in patients with HFpEF/HFrEF (House et al., 2019). In the event of Chronic Kidney Disease, risk factors may include a lengthened hypertension and a worsened blood pressure rate (BPr). The condition worsens due to salt and water retention leading to preload in excess, left ventricular hypertrophy, and fibrosis. Arteriovenous fistul...
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