Ultrafiltration in heart failure: Finding the entrance
نویسندگان
چکیده
منابع مشابه
Ultrafiltration in the management of heart failure.
PURPOSE OF REVIEW Congestion causes the majority of hospitalizations for heart failure and contributes to heart failure progression and mortality. Intravenous loop diuretics reduce the signs and symptoms of congestion. Loop diuretics, however, may be associated with increased morbidity and mortality because of deleterious effects on neurohormonal activation, electrolyte balance, and cardiac and...
متن کاملUltrafiltration for decompensated heart failure: renal implications.
The negative prognostic impact of worsening renal function in patients with decompensated heart failure has been widely recognised. As diuretics are thought to contribute to deterioration of kidney function in this setting, attempts have been made to either spare or suppress the diuretic-related pathophysiological mechanisms involved in this phenomenon. In this regard, extracorporeal ultrafiltr...
متن کاملThe Role of Ultrafiltration in Patients with Decompensated Heart Failure
Congestion, due in large part to hypervolemia, is the primary driver of heart failure (HF) admissions. Relief of congestion has been traditionally achieved through the use of loop diuretics, but there is increasing concern that these agents, particularly at high doses, may be deleterious in the inpatient setting. In addition, patients with HF and the cardiorenal syndrome (CRS) have diminished r...
متن کاملUltrafiltration in the management of refractory congestive heart failure.
Ultrafiltration was performed in nine patients with congestive cardiac failure that was refractory to conventional medical treatment. A mean of 12 X 7 litres of fluid was removed, and there was a sustained symptomatic improvement in all patients. Weight loss continued after ultrafiltration and a sustained increase in serum sodium concentration was also noted. A transient fall in right atrial pr...
متن کاملUltrafiltration in heart failure with preserved ejection fraction: comparison with systolic heart failure patients.
BACKGROUND Ultrafiltration (UF) is a widely used technology for inpatient management of acute decompensated heart failure in patients with volume overload. However, the safety and efficacy of UF in patients with heart failure and preserved left ventricular ejection fraction (heart failure with preserved ejection fraction [HFPEF]) need further clarification. We hypothesized that UF could be used...
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ژورنال
عنوان ژورنال: Hellenic Journal of Cardiology
سال: 2017
ISSN: 1109-9666
DOI: 10.1016/j.hjc.2017.09.004