Full decongestion in acute heart failure therapy

被引：0
|
作者：
Buttar, Chandan [1 ,2 ]
Alai, Hamid [1 ,2 ]
Matanes, Faris N. [1 ,2 ]
Cassidy, Mark M. [1 ,2 ]
Stencel, Jason [1 ,2 ]
Le Jemtel, Thierry H. [1 ,2 ]
机构：
[1] Tulane Univ, Med Ctr, Dept Cardiol, 1415 Tulane Ave, New Orleans, LA 70112 USA
[2] Southeast Louisiana Vet Healthcare Syst, 2400 Canal St, New Orleans, LA 70119 USA
来源：
AMERICAN JOURNAL OF THE MEDICAL SCIENCES | 2024年 / 368卷 / 03期
关键词：
Heart failure with reduced ejection fraction; Acute decompensated heart failure; Decongestion; Diuretics; ANGIOTENSIN-ALDOSTERONE SYSTEM; DIURETIC THERAPY; EJECTION FRACTION; SGLT2; INHIBITORS; MORTALITY; SPIRONOLACTONE; CONGESTION; CARVEDILOL; SODIUM; VOLUME;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Incomplete decongestion is the main cause of readmission in the early post-discharge period of a hospitalization for acute heart failure. Recent heart failure guidelines have highlighted initiation and rapid up-titration of quadruple therapy with angiotensin receptor neprilysin inhibitor, beta adrenergic receptor blocker, mineralocorticoid receptor antagonist, and sodium glucose cotransporter 2 inhibitor to prevent hospitalizations for heart failure with reduced ejection fraction. However, full decongestion remains the foremost therapeutic goal of hospitalization for heart failure. While early addition of sodium glucose cotransporter 2 inhibitors and mineralocorticoid receptor antagonists may be helpful, the value of the other therapeutics comes after decongestion is complete.
引用
收藏
页码：182 / 189
页数：8
相关论文
共 50 条
  • [21] Acute Kidney Function Declines in the Context of Decongestion in Acute Decompensated Heart Failure
    McCallum, Wendy
    Tighiouart, Hocine
    Testani, Jeffrey M.
    Griffin, Matthew
    Konstam, Marvin A.
    Udelson, James E.
    Sarnak, Mark J.
    JACC-HEART FAILURE, 2020, 8 (07) : 537 - 547
  • [22] We Must Change Our Approach to Decongestion in Acute Heart Failure
    Howlett, Jonathan
    Ducharme, Anique
    JACC-HEART FAILURE, 2024, 12 (08) : 1393 - 1395
  • [23] Efficacy of Rapid Decongestion Strategy in Patients Hospitalized for Acute Heart Failure
    Oguri, Mitsutoshi
    Ishii, Hideki
    Takahara, Kunihiko
    Yasuda, Kenichiro
    Takikawa, Tomonobu
    Sumi, Takuya
    Takahashi, Hiroshi
    Murohara, Toyoaki
    CIRCULATION JOURNAL, 2020, 84 (06) : 958 - +
  • [24] Efficacy of rapid decongestion strategy in patients hospitalized for acute heart failure
    Takahara, K.
    Oguri, M.
    Yasuda, K.
    Sumi, T.
    Izumi, K.
    Takikawa, T.
    Takahashi, H.
    Ishii, H.
    Murohara, T.
    EUROPEAN HEART JOURNAL, 2020, 41 : 1193 - 1193
  • [25] Discordance Between Hemoconcentration and Clinical Assessment of Decongestion in Acute Heart Failure
    Darawsha, Wisam
    Chirmicci, Stefan
    Solomonica, Amir
    Wattad, Malak
    Kaplan, Marielle
    Makhoul, Badira F.
    Abassi, Zaid A.
    Azzam, Zaher S.
    Aronson, Doron
    JOURNAL OF CARDIAC FAILURE, 2016, 22 (09) : 680 - 688
  • [26] Spot urine sodium predicts effectiveness of decongestion in acute heart failure
    Caravaca, P.
    Nuche Berenguer, J.
    Lora Pablos, D.
    Blazquez Bermejo, Z.
    Moran Fernandez, L.
    Cristo Ropero, M. J.
    Galvan Roman, F.
    Cruz Utrilla, A.
    Olivares Delgado, C. Perez
    Torres Hernan, M.
    De Juan Baguda, J.
    Cosio Carmena, M. D. Garcia
    Arribas Ynsaurriaga, F.
    Delgado Jimenez, J. F.
    EUROPEAN JOURNAL OF HEART FAILURE, 2020, 22 : 292 - 292
  • [27] Optimisation of decongestion in acute decompensated heart failure: role of tolvaptan and aquapheresis
    Chung, E. S.
    Dadosky, C.
    Jefferies, J. L.
    Egnaczyk, G. F.
    O'brien, T. M.
    Menon, S. G.
    EUROPEAN JOURNAL OF HEART FAILURE, 2016, 18 : 185 - 185
  • [28] Relation of Decongestion and Time to Diuretics to Biomarker Changes and Outcomes in Acute Heart Failure
    Horiuchi, Yu
    Wettersten, Nicholas
    van Veldhuisen, Dirk J.
    Mueeller, Christian
    Filippatos, Gerasimos
    Nowak, Richard
    Hogan, Christopher
    Kontos, Michael C.
    Cannon, Chad M.
    Mueller, Gerhard A.
    Birkhahn, Robert
    Taub, Pam
    Vilke, Gary M.
    Barnett, Olga
    McDonald, Kenneth
    Mahon, Niall
    Nunez, Julio
    Briguori, Carlo
    Passino, Claudio
    Maisel, Alan
    Murray, Patrick T.
    AMERICAN JOURNAL OF CARDIOLOGY, 2021, 147 : 70 - 79
  • [29] Renal function and decongestion with acetazolamide in acute decompensated heart failure: the ADVOR trial
    Meekers, Evelyne
    Dauw, Jeroen
    Martens, Pieter
    Dhont, Sebastiaan
    Verbrugge, Frederik H.
    Nijst, Petra
    ter Maaten, Jozine M.
    Damman, Kevin
    Mebazaa, Alexandre
    Filippatos, Gerasimos
    Ruschitzka, Frank
    Tang, Wai Hong Wilson
    Dupont, Matthias
    Mullens, Wilfried
    EUROPEAN HEART JOURNAL, 2023, 44 (37) : 3672 - 3682
  • [30] Decongestion Versus Cytokine Clearance in Acute Heart Failure: Not All that Glitters is Gold
    Koratala, Abhilash
    Kazory, Amir
    THERAPEUTIC APHERESIS AND DIALYSIS, 2017, 21 (05) : 514 - 515
12345