6533b81ffe1ef96bd127703b

RESEARCH PRODUCT

Cuantificación y tratamiento de la congestión en insuficiencia cardíaca: una visión clínica y fisiopatológica

Rafael De La EspriellaEnrique SantasMarta Cobo MarcosJosé Luis GórrizJulio NúñezIsabel Zegri Reiriz

subject

medicine.medical_specialtybusiness.industrymedicine.medical_treatmentmedicine.diseaseClinical PracticeNephrologyInternal medicineHeart failureExtracellular fluidmedicineCardiologyIntravascular volume statusDiureticbusiness

description

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.

https://doi.org/10.1016/j.nefro.2021.04.006