Mechanical strategies to improve fluid over load in patients with cardiorenal syndrome

Journal of Medical and Scientific Research

Murthy¹ 

[1] AS;

关键词: Ultrafiltration;    Aquapheresis;    Diuretics;    Sympathetic nervous system (SNS);    Renin angiotensin Aldosterone system (RAAS);    Cardiorenal syndrome;   

DOI  :  10.17727/JMSR.2013/1-010

来源: DOAJ

【 摘 要 】

Treatment of acute deterioration in cardiac function traditionally involved diuretics, inotropes, and vasodilators. Usage of diuretics to reduce volume overload and pulmonary edema is often slow and many times accompanied by activation of RAAS and sympathetic nervous system with resultant increase in serum creatinine and heart rate. Other therapies that have been used in this setting include natriuretics and aquareticsalthough with limited success. To address this problem, mechanical removal of fluid (ultrafiltration/ aquapheresis) in volume overloaded patients is increasingly being done with lesser incidence of activation of RAAS and SNS. Both traditional dialysis machines and dedicated machines for isolated ultrafiltration have been employed.

【 授权许可】

Unknown