Fluid overload contributing to heart failure

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Fluid 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...

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Fluid 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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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. ...

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Volume Overload in Heart Failure

The burden of heart failure (HF) remains formidable in the US, with nearly one million annual hospital admissions and frequent outpatient visits to a variety of care providers. While HF outcomes have improved modestly over the past several decades, many patients still struggle to maintain a satisfactory quality of life. Implantable cardioverter– defibrillators have reduced the risk for sudden c...

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Circulatory 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...

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 2005

ISSN: 1460-2385,0931-0509

DOI: 10.1093/ndt/gfh1103