Assessment of filling pressures and fluid overload in heart failure: an updated perspective

被引：0
|
作者：
de la Espriella, Rafael [1 ]
Cobo, Marta [2 ]
Santas, Enrique [1 ]
Verbrugge, Frederik H. [3 ,4 ]
Fudim, Marat [5 ,6 ]
Girerd, Nicolas [7 ]
Minana, Gema [1 ]
Gorriz, Jose Luis [8 ,9 ]
Bayes-Genis, Antoni [10 ,11 ]
Nunez, Julio [1 ,9 ,12 ]
机构：
[1] Hosp Clin Univ Valencia, Serv Cardiol, INCLIVA, Valencia, Spain
[2] Hosp Puerta Hierro, Serv Cardiol, Madrid, Spain
[3] Univ Hosp Brussels, Ctr Cardiovasc Dis, Jette, Belgium
[4] Vrije Univ Brussel, Fac Med & Pharm, Brussels, Belgium
[5] Duke Univ, Dept Med, Div Cardiol, Durham, NC USA
[6] Duke Clin Res Inst, Durham, NC USA
[7] Univ Lorraine, Ctr Invest Clin Plurithemat, Inserm U1116,CIC P 1433, CHRU Nancy Brabois,F CRIN INI CRCT Cardiovasc & R, Nancy, France
[8] Hosp Clin Univ Valencia, Serv Nefrol, INCLIVA, Valencia, Spain
[9] Univ Valencia, Dept Med, Valencia, Spain
[10] Hosp Univ Germans Trias i Pujol, Inst Cor, Badalona, Barcelona, Spain
[11] Univ Autonoma Barcelona, Dept Med, Barcelona, Spain
[12] Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Madrid, Spain
来源：
REVISTA ESPANOLA DE CARDIOLOGIA | 2023年 / 76卷 / 01期
关键词：
Congestion; Biomarkers; POCUS; Precision medicine; INTRARENAL VENOUS FLOW; INFERIOR VENA-CAVA; EUROPEAN-SOCIETY; NATRIURETIC PEPTIDE; SOLUBLE CD146; PROGNOSTIC-SIGNIFICANCE; CLINICAL-ASSESSMENT; AMERICAN SOCIETY; ASSOCIATION; MARKER;
D O I：
10.1016/j.recesp.2022.08.001
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Congestion plays a major role in the pathogenesis, presentation, and prognosis of heart failure and is an important therapeutic target. However, its severity and organ and compartment distribution vary widely among patients, illustrating the complexity of this phenomenon. Although clinical symptoms and signs are useful to assess congestion and manage volume status in individual patients, they have limited sensitivity and do not allow identification of congestion phenotype. This leads to diagnostic uncertainty and hampers therapeutic decision-making. The present article provides an updated overview of circulating biomarkers, imaging modalities (ie, cardiac and extracardiac ultrasound), and invasive techniques that might help clinicians to identify different congestion profiles and guide the management strategy in this diverse population of high-risk patients with heart failure.⠂C 2022 Sociedad Espan & SIM;ola de Cardiologi & PRIME;a. Published by Elsevier Espan & SIM;a, S.L.U. All rights reserved.
引用
收藏
页码：47 / 57
页数：11
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