Impact of Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Renal Function in Patient with Heart Failure

Hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitor is a recently introduced oral agent to treat renal anemia, but its clinical implications on renal functioning in patients with heart failure remains unknown. We studied an 81-year-old man with heart failure with mildly reduced ejection f...

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Main Authors: Teruhiko Imamura, Yohei Ueno, Koichiro Kinugawa
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/8/12/189
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author Teruhiko Imamura
Yohei Ueno
Koichiro Kinugawa
author_facet Teruhiko Imamura
Yohei Ueno
Koichiro Kinugawa
author_sort Teruhiko Imamura
collection DOAJ
description Hypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitor is a recently introduced oral agent to treat renal anemia, but its clinical implications on renal functioning in patients with heart failure remains unknown. We studied an 81-year-old man with heart failure with mildly reduced ejection fraction, chronic kidney disease, and renal anemia. The seven-month HIF-PH inhibitor daprodustat treatment improved the hemoglobin level from 7.4 g/dL to 11.8 g/dL and estimated glomerular filtration ratio from 24 mL/min/1.73 m<sup>2</sup> to 35 mL/min/1.73 m<sup>2</sup> without any complications, including thromboembolic events. HIF-PH inhibitor might be a promising therapeutic tool to improve renal anemia and renal function in patients with heart failure, although large-scale studies are warranted to validate our findings.
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spelling doaj.art-4f0001d1aff249d79313f80e65ca51292023-11-23T08:55:09ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252021-12-0181218910.3390/jcdd8120189Impact of Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Renal Function in Patient with Heart FailureTeruhiko Imamura0Yohei Ueno1Koichiro Kinugawa2The Second Department of Internal Medicine, University of Toyama, 2630 Sugitani Toyama, Toyama 930-0194, JapanThe Second Department of Internal Medicine, University of Toyama, 2630 Sugitani Toyama, Toyama 930-0194, JapanThe Second Department of Internal Medicine, University of Toyama, 2630 Sugitani Toyama, Toyama 930-0194, JapanHypoxia-inducible factor prolyl hydroxylase (HIF-PH) inhibitor is a recently introduced oral agent to treat renal anemia, but its clinical implications on renal functioning in patients with heart failure remains unknown. We studied an 81-year-old man with heart failure with mildly reduced ejection fraction, chronic kidney disease, and renal anemia. The seven-month HIF-PH inhibitor daprodustat treatment improved the hemoglobin level from 7.4 g/dL to 11.8 g/dL and estimated glomerular filtration ratio from 24 mL/min/1.73 m<sup>2</sup> to 35 mL/min/1.73 m<sup>2</sup> without any complications, including thromboembolic events. HIF-PH inhibitor might be a promising therapeutic tool to improve renal anemia and renal function in patients with heart failure, although large-scale studies are warranted to validate our findings.https://www.mdpi.com/2308-3425/8/12/189heart failurechronic kidney diseasekidney
spellingShingle Teruhiko Imamura
Yohei Ueno
Koichiro Kinugawa
Impact of Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Renal Function in Patient with Heart Failure
Journal of Cardiovascular Development and Disease
heart failure
chronic kidney disease
kidney
title Impact of Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Renal Function in Patient with Heart Failure
title_full Impact of Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Renal Function in Patient with Heart Failure
title_fullStr Impact of Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Renal Function in Patient with Heart Failure
title_full_unstemmed Impact of Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Renal Function in Patient with Heart Failure
title_short Impact of Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Renal Function in Patient with Heart Failure
title_sort impact of hypoxia inducible factor prolyl hydroxylase inhibitor on renal function in patient with heart failure
topic heart failure
chronic kidney disease
kidney
url https://www.mdpi.com/2308-3425/8/12/189
work_keys_str_mv AT teruhikoimamura impactofhypoxiainduciblefactorprolylhydroxylaseinhibitoronrenalfunctioninpatientwithheartfailure
AT yoheiueno impactofhypoxiainduciblefactorprolylhydroxylaseinhibitoronrenalfunctioninpatientwithheartfailure
AT koichirokinugawa impactofhypoxiainduciblefactorprolylhydroxylaseinhibitoronrenalfunctioninpatientwithheartfailure