Management of Congestion and Diuretic Resistance in Heart Failure:

Nephrology @ Point of Care

GiuseppeRegolisti¹ 

关键词: Congestion;    Diuretic resistance;    Heart failure;   

DOI  :  10.5301/pocj.5000200

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

We present the case of a patient with heart failure and severe congestion who was responding poorly to diuretic therapy. We discuss the key problems concerning the pathophysiology and bedside therapeutic approach to congestion and fluid overload in this clinical setting, and we give practical suggestions to overcome congestion, especially in the setting of diuretic resistance and worsening renal function. We conclude that the application of key pharmacokinetic and pharmacodynamic principles of diuretic therapy, along with in-depth knowledge of the pathophysiology of heart failure, still represent the cornerstones for a correct approach to decongestive therapy in these patients.

【 授权许可】

CC BY