JOURNAL ARTICLE

[Symptom control in heart failure patients - how to handle GFR decrease and hyperkalaemia]

Vincent Brandenburg, Johann Bauersachs, Michael Böhm, Danilo Fliser, Stefan Frantz, Norbert Frey, Gerd Hasenfuß, Jan T Kielstein
Deutsche Medizinische Wochenschrift 2021 January 22
33482670
For heart failure patients with reduced ejection fraction, optimised medication improves symptom control and reduces mortality. Substances influencing the renin-angiotensin-aldosteron-system, so-called RAAS-inhibitors, are the cornerstone of heart failure treatment. This article summarises a consensus between experts in cardiology and in nephrology on a pragmatic approach to manage a drop in glomerular filtration rate and incident hyperkalaemia - the two most common reasons for reducing or discontinuing heart failure medication.

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