If it's Chronc Renal Failure, many of us have benefitted from the information at http://www.felinecrf.com/index.htm
Please check with your vet, but my understanding is that the kidneys can compensate up to about 70 or 75% loss. It's at that point that you first see the rise in creatinine -- and so that is considered early renal failure.
The heart condition of course does affect the condition of the kidneys.
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