Cardio-renal relationship with kidney disease in children

The aim of this work is to study the role of heart failure in the fatal outcome of patients with symptoms of chronic renal failure in predialysis stage. Materials and methods. We have retrospectively studied 52 patients with CKD in predialysis stage with chronic renal failure and 15 children who died in the predialysis stage with symptoms of chronic renal failure at the age of 2 to 14 years. GFR was determined by the Schwartz formula (Schwartz) .Otsenivali clinical, laboratory and echocardiographic parameters. Stage of chronic kidney disease was determined according to the criteria of KDIGO. Results. Analysis of causes that led to the development of chronic renal failure revealed 40 cases of chronic glomerulonephritis, 6 cases of hereditary and congenital diseases of the urinary system. Left ventricular hypertrophy (LVH), an extension of the left ventricle revealed third of patients at an early stage of CKD, glomerular filtration rate (<60 ml / min / 1.73 m2) .The most unfavorable in terms of remodeling proved LVH with anemiey. This combination noted in 36.1% of patients with stage I CKD, 71.4% with Conclusion. High lights the shortcomings of holding renocardioprotektory therapy, the observed cases, and early correction of renal anemia