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Clinical significance of choosing the optimal glomerular filtration rate equation in patients with coronary artery disease referred for myocardial revascularization

Authors: Osipova A.I., Keren M.A.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2024-18-3-286-297

For citation: Osipova A.I., Keren M.A. Clinical significance of choosing the optimal glomerular filtration rate equation in patients with coronary artery disease referred for myocardial revascularization. Creative Cardiology. 2024; 18 (3): 286–297 (in Russ.). DOI: 10.24022/1997-3187-2024-18-3-286-297

Received / Accepted:  12.04.2024 / 17.06.2024

Keywords: coronary artery disease chronic kidney disease renal dysfunction revascularization coronary artery bypass grafting glomerular filtration rate creatinine clearance equation



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Abstract

Сhronic kidney disease (CKD) significantly worsens prognosis in patients with coronary artery disease (CAD) referred for myocardial revascularization. In clinical practice for assessment of the risk of adverse outcomes in such patients are often used special glomerular filtration rate (GFR) equations, which allow to quite accurately determine the presence and severity of CKD. However, all these equations have certain limitations. It remains unknown to date which of them most accurately reflects renal function. The aim of this article is to review the literature and summarize the available data regarding the selection of the optimal GFR equation for predicting adverse postoperative outcomes in patients with CAD referred for myocardial revascularization.

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About Authors

  • Alina I. Osipova, Postgraduate; ORCID
  • Milena A. Keren, Dr. Med. Sci., Professor, Senior Researcher; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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