Quantification and treatment of congestion in heart failure

Renal sodium and water retention with resulting extracellular volume expansion and redistribution are hallmark features of heart failure syndromes. However, congestion assessment, monitoring, and treatment represent a real challenge in daily clinical practice. This document reviewed historical and c...

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Detalles Bibliográficos
Autores: De la Espriella, Rafael|||0000-0002-8720-3999, Santas, Enrique, Zegrí-Reiriz, Isabel|||0000-0001-9742-8537, Górriz, José Luis, Cobo-Marcos, M.|||0000-0002-9026-061X, Núñez, Julio|||0000-0003-1672-7119
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:español
OAI Identifier:oai:ddd.uab.cat:290520
Acceso en línea:https://ddd.uab.cat/record/290520
https://dx.doi.org/urn:doi:10.1016/j.nefro.2021.04.006
Access Level:acceso abierto
Palabra clave:Biomarcadores
Biomarkers
Congestion
Congestión
Diuretic therapy
Diuréticos
Heart failure
Insuficiencia cardiaca
Descripción
Sumario:Renal sodium and water retention with resulting extracellular volume expansion and redistribution are hallmark features of heart failure syndromes. However, congestion assessment, monitoring, and treatment represent a real challenge in daily clinical practice. This document reviewed historical and contemporary evidence of available methods for determining volume status and discuss pharmacological aspects and pathophysiological principles that underlie diuretic use.