Diuretics and Ultrafiltration in Heart Failure

Cardiorenal medicine

article

Reis, Thiago¹  Ronco, Federico³  Ostermann, Marlies⁴ 

[1]Division of Kidney Transplantation, D’Or Institute for Research and Education ,(IDOR), DF Star Hospital

[2]Laboratory of Molecular Pharmacology, Faculty of Health Sciences, University of Brasília, Asa Norte, Campus Darcy Ribeiro

[3]Interventional Cardiology, Ospedale dell’Angelo

[4]Department of Critical Care and Nephrology, King’s College London, Guy’s and St Thomas’ Hospital

关键词: Heart failure;    Congestive heart failure;    Cardiorenal syndrome;    Ultrafiltration;    Fluid removal;    Acute kidney injury;    Renal replacement therapy;    Fluid overload;   

DOI  :  10.1159/000529068

学科分类：心脏病和心血管学

来源: S Karger AG

【 摘 要 】

Fluid overload is a risk factor for increased morbidity and mortality, especially in patients with heart disease. The treatment options are limited to diuretics and mechanical fluid removal using ultrafiltration or renal replacement therapy. This paper provides an overview of the challenges of managing fluid overload, outlines the risks and benefits of different pharmacological options and extracorporeal techniques, and provides guidance for clinical practice.

【 授权许可】

CC BY