0000000000535772
AUTHOR
Ignacio Sanchis
Early Spot Urinary Sodium and Diuretic Efficiency in Acute Heart Failure and Concomitant Renal Dysfunction
<b><i>Objective:</i></b> In acute heart failure (AHF), early assessment of spot urinary sodium (U<sub>Na</sub>) has emerged as a useful biomarker for risk stratification and monitoring. The objective of this study was to investigate (a) whether early spot U<sub>Na</sub> predicts 24-h diuretic efficiency and (b) the clinical factors associated with early spot U<sub>Na</sub> in patients with AHF and concomitant renal dysfunction (RD). <b><i>Methods:</i></b> This is a post hoc analysis of the IMPROVE-HF trial, in which 160 patients with AHF and RD (estimated glomerular filtrate rate [eGFR] &#x3c;60 mL/min/1…
Comparación del somatotipo, evaluación nutricional e ingesta alimentaria entre estudiantes universitarios deportistas y sedentarios
Resumen Fundamento y objetivo El estudio del somatotipo y de la ingesta alimentaria entre la poblacion universitaria es importante para implantar politicas internas de mejora de la salud y de la prevencion de enfermedades. En este estudio se ha realizado la comparacion del somatotipo, evaluacion energetica-nutricional e ingesta alimentaria entre estudiantes universitarios deportistas frente a los sedentarios. Sujetos y metodo La muestra esta formada por 1.299 jovenes universitarios (420 varones y 879 mujeres) de la Universitat de Valencia, durante 2008-2009 y 2009-2010, evaluandose en ellos diversos parametros antropometricos, el somatotipo y la ingesta nutricional y alimentaria mediante un…
Use of acetazolamide in the treatment of patients with refractory congestive heart failure
Aims Optimal diuretic treatment of patients with refractory congestive heart failure (CHF) remains to be elucidated. In this work, we aimed to evaluate the serial changes of functional class and surrogates of fluid overload (weight and antigen carbohydrate 125) after addition of oral acetazolamide in patients with refractory CHF. Likewise, serial changes in renal function, serum electrolytes and pH were evaluated. Method This is an observational retrospective study in which 25 ambulatory patients with refractory CHF that received acetazolamide in addition to standard intensive diuretic strategy were evaluated. Longitudinal assessment of New York Heart Association (NYHA) functional class and…