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Acute Heart Failure: Acute Cardiorenal Syndrome and Role of Aggressive Decongestion
Journal article   Open access   Peer reviewed

Acute Heart Failure: Acute Cardiorenal Syndrome and Role of Aggressive Decongestion

Elias B. Hanna and Eliana Hanna Deschamps
Clinical cardiology (Mahwah, N.J.), Vol.37(12), pp.773-778
12/01/2014
DOI: 10.1002/clc.22337
PMCID: PMC6647612
PMID: 25403797
url
https://doi.org/10.1002/clc.22337View
Published (Version of record) Open Access

Abstract

Congestion and acute renal dysfunction are at the center of acute heart failure (HF) syndromes. Acute cardiorenal syndrome, which refers to worsening of renal function in a patient with acute HF syndrome, is partly related to venous congestion and high renal afterload. Aggressive decongestion improves renal and myocardial flow and ventricular loading conditions, potentially resulting in reduced HF progression, rehospitalization, and mortality. High-dose diuretic therapy remains the mainstay therapy. Ultrafiltration and inotropic therapy are useful in the subgroup of patients with a low-output state and diuretic resistance.
Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Life Sciences & Biomedicine Science & Technology

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