{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:16:35Z","timestamp":1768436195469,"version":"3.49.0"},"reference-count":60,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Almost half of hospitalised patients with acute heart failure develop acute cardiorenal syndrome. Treatment consists of optimisation of fluid status and haemodynamics, targeted therapy for the underlying cardiac disease, optimisation of heart failure treatment and preventive measures such as avoidance of nephrotoxic agents. Renal replacement therapy may be temporarily needed to support kidney function, mostly in case of diuretic resistant fluid overload or severe metabolic derangement. The best timing to initiate renal replacement therapy and the best modality in acute heart failure are still under debate. Several modalities are available such as intermittent and continuous renal replacement therapy as well as hybrid techniques, based on two main principles: haemofiltration and haemodialysis. Although continuous techniques have been associated with less haemodynamic instability and a greater chance of renal recovery, cohort data are conflicting and randomised controlled trials have not shown a difference in recovery or mortality. In the presence of diuretic resistance, isolated ultrafiltration with individualisation of ultrafiltration rates is a valid option for decongestion in acute heart failure patients. Practical tools to optimise the use of renal replacement therapy in acute heart failure-related acute cardiorenal syndrome were discussed.<\/jats:p>","DOI":"10.1177\/2048872620936371","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T15:54:01Z","timestamp":1593446041000},"page":"802-811","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Acute cardiorenal syndrome in acute heart failure: focus on renal replacement therapy"],"prefix":"10.1093","volume":"9","author":[{"given":"Hannah AI","family":"Schaubroeck","sequence":"first","affiliation":[{"name":"Intensive Care Unit, Ghent University Hospital, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofie","family":"Gevaert","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ghent University Hospital, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean M","family":"Bagshaw","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, University of Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A","family":"Kellum","sequence":"additional","affiliation":[{"name":"Center for Critical Care Nephrology, University of Pittsburgh, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric AJ","family":"Hoste","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Ghent University Hospital, Belgium"},{"name":"Research Foundation-Flanders (FWO), Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,1]]},"reference":[{"key":"2021020117084341000_bibr1-2048872620936371","doi-asserted-by":"crossref","first-page":"7","DOI":"10.15420\/cfr.2016:25:2","article-title":"Global public health burden of heart failure","volume":"3","author":"Savarese","year":"2017","journal-title":"Cardiac Fail Rev"},{"key":"2021020117084341000_bibr2-2048872620936371","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.1093\/eurheartj\/ehw128","article-title":"2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). 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