Extracorporeal Ultrafiltration for Fluid Overload in Heart Failure
نویسندگان
چکیده
منابع مشابه
Extracorporeal Ultrafiltration for Fluid Overload in Heart Failure
More than 1 million heart failure hospitalizations occur annually, and congestion is the predominant cause. Rehospitalizations for recurrent congestion portend poor outcomes independently of age and renal function. Persistent congestion trumps serum creatinine increases in predicting adverse heart failure outcomes. No decongestive pharmacological therapy has reduced these harmful consequences. ...
متن کاملCirculatory response to fluid overload removal by extracorporeal ultrafiltration in refractory congestive heart failure.
OBJECTIVES The goal of this study was to investigate the hemodynamic and circulatory adjustments to extracorporeal ultrafiltration (UF) in refractory congestive heart failure (rCHF). BACKGROUND In rCHF, UF allows clinical improvement and restores diuretic efficacy. However, in the course of a UF session, patients are exposed to rapid variations of body fluid composition so that, as fluid is w...
متن کاملExtracorporeal ultrafiltration for acute heart failure: patient selection and perspectives
Most patients presenting with acute heart failure (AHF) show signs and symptoms of fluid overload, which are closely associated with short-term and long-term outcomes. Ultrafiltration is an extremely appealing strategy for patients with AHF and concomitant overt fluid overload not fully responsive to diuretic therapy. However, although there are several theoretical beneficial effects associated...
متن کاملFluid overload contributing to heart failure.
BACKGROUND In advanced heart failure, the compensatory responses to reduced cardiac output, in spite of fluid retention, lead to maladaptive consequences. METHODS We performed a Medline survey for fluid overload and heart failure as well as reviewing textbook chapters. RESULTS The increased sympathetic nervous system, renin-angiotensin-aldosterone system, and antidiuretic hormone stimulatio...
متن کاملFluid Volume Overload and Congestion in Heart Failure
Abstract—Volume regulation, assessment, and management remain basic issues in patients with heart failure. The discussion presented here is directed at opening a reassessment of the pathophysiology of congestion in congestive heart failure and the methods by which we determine volume overload status. Peer-reviewed historical and contemporary literatures are reviewed. Volume overload and fluid c...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2017
ISSN: 0735-1097
DOI: 10.1016/j.jacc.2017.03.528