scholarly journals Congestion and Diuretic Resistance in Acute or Worsening Heart Failure

2020 ◽  
Vol 6 ◽  
Author(s):  
Ingibjörg Kristjánsdóttir ◽  
Tonje Thorvaldsen ◽  
Lars H Lund
Keyword(s):  
Heart Failure ◽  
Strong Predictor ◽  
Symptom Relief ◽  
Treatment Success ◽  
Signs And Symptoms ◽  
Monitoring And Evaluation ◽  
Diuretic Resistance ◽  
Diuretic Response ◽  
Evidence Based Therapy ◽  
Therapy Treatment

Hospitalisation for acute heart failure (AHF) is associated with high mortality and high rehospitalisation rates. In the absence of evidence-based therapy, treatment is aimed at stabilisation and symptom relief. The majority of AHF patients have signs and symptoms of fluid overload, and, therefore, decongestion is the number one treatment goal. Diuretics are the cornerstone of therapy in AHF, but the treatment effect is challenged by diuretic resistance and poor diuretic response throughout the spectrum of chronic to worsening to acute to post-worsening HF. Adequate dosing and monitoring and evaluation of diuretic effect are important for treatment success. Residual congestion at discharge is a strong predictor of worse outcomes. Therefore, achieving euvolaemia is crucial despite transient worsening renal function.

scholarly journals DIURETIC RESISTANCE IN ADVANCED HEART FAILURE: A Literature Review

2021 ◽  
Vol 2 (1) ◽  
pp. 8-15
Author(s):  
Anita Surya Santoso ◽  
Mohammad Saifur Rohman ◽  
Indra Prasetya ◽  
Budi Satrijo
Keyword(s):  
Heart Failure ◽  
Prognostic Factor ◽  
Literature Review ◽  
Cardiac Dysfunction ◽  
Signs And Symptoms ◽  
Underlying Mechanism ◽  
Advanced Heart Failure ◽  
Diuretic Resistance

Advanced heart failure (HF) is used to characterized patients in HF with severe symptoms, recurrent decompensation and severe cardiac dysfunction. The prevalencekof HFkis approximatelyg1-2% of thecadult population inhdeveloped countries and it will be rising more than 10%pamongapeoplec>70ayears of age, whereas estimated theoprevalence ofcpatients with advanced HF is about 1% until 10%cof thekoverallkHFopopulation. Most ofkthe HF hospitalizationssare due to signs and symptoms of fluidcoverload.Recurrent congestionccould worsen patientssoutcomes.Loopdiureticssare recommended for thectreatmentcofkcongestionqinprHF patient. cHowever,cdiureticvresistanceeispavcommon problem issueiinpacuteqdecompensationtofcadvancedochronicrheartwfailureq(ACHF) patients and established prognostic factor. Some early reports estimated the prevalence of diuretic resistance about 20%-30% in HF population. In this review, we will be discuss how to diagnose the advancedvheartufailurepand the underlying mechanism of diuretic resistancebin HF patients. We also describe pharmacologicalvand non-pharmacologicalstrategies to overcome this issue.

Beyond the Apnoea–Hypopnoea Index – Prognostic Value of Other Elements of Polysomnography to Describe Sleep-disordered Breathing in Heart Failure

2009 ◽  
Vol 5 (2) ◽  
pp. 53
Author(s):  
Philip B Adamson ◽  
Keyword(s):  
Heart Failure ◽  
Standard Method ◽  
Patient Population ◽  
Prognostic Value ◽  
Sleep Disordered Breathing ◽  
Treatment Success ◽  
Multiple Components ◽  
Severity Of The Disease ◽  
Disordered Breathing

There is increasing appreciation of the prevalence of sleep-disordered breathing (SDP) in heart failure. As we examine this patient population, the difficulties of determining success in the treatment of SDB are becoming evident. The apnoea–hypopnoea index (AHI) is the standard method of measuring both the severity of the disease and treatment success, but in itself is a composite of multiple components. This article examines both current and developing measurements in the treatment of SDB.

scholarly journals Preoperative Diuretic Resistance and Risk of Right Heart Failure (RHF) Post-LVAD Implantation

2021 ◽  
Vol 40 (4) ◽  
pp. S392
Author(s):  
D. Huang ◽  
P. Lacombe ◽  
G. Gulati ◽  
G. Couper ◽  
K. Masashi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Right Heart Failure ◽  
Right Heart ◽  
Diuretic Resistance

scholarly journals Palliative key aspects are of importance for symptom relief during the last week of life in patients with heart failure

2021 ◽  
Author(s):  
Kristofer Årestedt ◽  
Margareta Brännström ◽  
Lorraine S. Evangelista ◽  
Anna Strömberg ◽  
Anette Alvariza
Keyword(s):  
Heart Failure ◽  
Symptom Relief ◽  
Patients With Heart Failure ◽  
Key Aspects

Diuretic response and effects of diuretic omission in ambulatory heart failure patients on chronic low‐dose loop diuretic therapy

2021 ◽  
Author(s):  
Jeroen Dauw ◽  
Pieter Martens ◽  
Gregorio Tersalvi ◽  
Joren Schouteden ◽  
Sébastien Deferm ◽  
...  
Keyword(s):  
Heart Failure ◽  
Low Dose ◽  
Loop Diuretic ◽  
Diuretic Therapy ◽  
Heart Failure Patients ◽  
Diuretic Response

scholarly journals Correction: Feola, M., et al. Six-Month Predictive Value of Diuretic Resistance Formulas in Discharged Heart Failure Patients after an Acute Decompensation. J. Clin. Med. 2020, 9, 2932

2021 ◽  
Vol 10 (3) ◽  
pp. 531
Author(s):  
Mauro Feola ◽  
Arianna Rossi ◽  
Marzia Testa ◽  
Cinzia Ferreri ◽  
Alberto Palazzuoli ◽  
...  
Keyword(s):  
Heart Failure ◽  
Predictive Value ◽  
Diuretic Resistance ◽  
Heart Failure Patients ◽  
Acute Decompensation

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