Although chronic kidney disease is characterized by low glomerular filtration rate (GFR) or albuminuria, estimated GFR (eGFR) is more widely utilized as a marker of risk profile in cardiovascular diseases, including heart failure (HF). The presence and magnitude of albuminuria confers a strong prognostic association in forecasting risk of incident HF as well as its progression, irrespective of eGFR. Despite the high prevalence of albuminuria in HF, whether it adds incremental prognostic information in clinical practice and serves as an independent risk marker, and whether there are any therapeutic implications of assessing albuminuria in patients with HF is less well-established. In this narrative review, we assess the potential role of albuminuria in risk profiling for development and progression of HF, strengths and limitations of utilizing albuminuria as a risk marker, its ability to serve in HF risk prediction models, and the implications of adopting albuminuria as an effective parameter in cardiovascular trials and practice.
Editors
Editor-in-Chief Valentin Fuster, MD, PhD, MACC
CME EditorRagavendra R. Baliga, MD
Authors Izza Shahid, MBBSMuhammad Shahzeb Khan, MD, MSc Javed Butler, MD, MPH, MBAImportant Dates
Date of Release: January 16, 2023Term of Approval/Date of CME/MOC/ECME Expiration: January 15, 2024