Abstract 18190: Role of Specialised Heart Failure Unit in Optimisation of Guideline-Directed Medical Therapy With Focus on Renal Function - Real World Data
Elizabeth L Macken, Marco Ferrari, Salia Virxinia Pol, Lilly Mandanrano, Heba Ghazal, Omar Ali, Robin Ray, Nesan Shanmugam, Lisa Anderson, Giuseppe Rosano, Marco Metra, Debasish Banerjee, Fadi Jouhra- Physiology (medical)
- Cardiology and Cardiovascular Medicine
Introduction: Guideline-directed medical therapy (GDMT) has proven to significantly reduce morbidity and mortality in Heart Failure. We highlighted the differences in renal function among HF patients managed on GDMT, comparing those within a dedicated HF unit (HFU) to those under General Medical (GM) and Geriatrics (GER).
Aim: The purpose of this single-centre cohort study is to highlight differences in renal function outcome between these groups.
Methods: Our database consists of 540 patients with AHF admitted to HFU or GM/GER from 01/08/2021 to 31/07/2022. We divided this group as follows:
Results:
Conclusion: This study highlights differences in renal function outcome between these two groups. It demonstrates that despite optimisation and initiation of GDMT in Group B - which may lead to concern for its impact on renal function - eGFR, Cr and K+ levels were not markedly different between both cohorts.