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Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression

BACKGROUND: Management of patients with refractory congestion, is one of the most important challenges in the field of heart failure (HF). Diuretic therapy remains the most widely used therapy to achieve euvolemia. However, some patients experience fluid overload despite the use of high-dose diureti...

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Autores principales: Collado Macián, Carlos, Pujol Pocull, David, Dominguez, Fernando, López-Azor, Juan Carlos, Garcia-Pavia, Pablo, Nuñez, Julio, Cobo Marcos, Marta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570792/
https://www.ncbi.nlm.nih.gov/pubmed/37840957
http://dx.doi.org/10.3389/fcvm.2023.1230980
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author Collado Macián, Carlos
Pujol Pocull, David
Dominguez, Fernando
López-Azor, Juan Carlos
Garcia-Pavia, Pablo
Nuñez, Julio
Cobo Marcos, Marta
author_facet Collado Macián, Carlos
Pujol Pocull, David
Dominguez, Fernando
López-Azor, Juan Carlos
Garcia-Pavia, Pablo
Nuñez, Julio
Cobo Marcos, Marta
author_sort Collado Macián, Carlos
collection PubMed
description BACKGROUND: Management of patients with refractory congestion, is one of the most important challenges in the field of heart failure (HF). Diuretic therapy remains the most widely used therapy to achieve euvolemia. However, some patients experience fluid overload despite the use of high-dose diuretics and new strategies to overcome diuretic resistance are needed. CASE SUMMARY: We report an 85 years-old male patient admitted for decompensated HF with persistent tissue fluid overload (peripheral edema) for more than two weeks despite high dose of intravenous furosemide with the combination of other diuretics. At this point, we performed leg venous compression using elastic bandages for three days. After 72 h, edema disappeared, and additional weight loss was achieved (1 kg/day). No side effects were observed and the patient was discharged home euvolemic. CONCLUSION: Venous leg compression may be an alternative therapy in patients with persistent tissue fluid overload resistant to diuretics.
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spelling pubmed-105707922023-10-14 Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression Collado Macián, Carlos Pujol Pocull, David Dominguez, Fernando López-Azor, Juan Carlos Garcia-Pavia, Pablo Nuñez, Julio Cobo Marcos, Marta Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Management of patients with refractory congestion, is one of the most important challenges in the field of heart failure (HF). Diuretic therapy remains the most widely used therapy to achieve euvolemia. However, some patients experience fluid overload despite the use of high-dose diuretics and new strategies to overcome diuretic resistance are needed. CASE SUMMARY: We report an 85 years-old male patient admitted for decompensated HF with persistent tissue fluid overload (peripheral edema) for more than two weeks despite high dose of intravenous furosemide with the combination of other diuretics. At this point, we performed leg venous compression using elastic bandages for three days. After 72 h, edema disappeared, and additional weight loss was achieved (1 kg/day). No side effects were observed and the patient was discharged home euvolemic. CONCLUSION: Venous leg compression may be an alternative therapy in patients with persistent tissue fluid overload resistant to diuretics. Frontiers Media S.A. 2023-09-29 /pmc/articles/PMC10570792/ /pubmed/37840957 http://dx.doi.org/10.3389/fcvm.2023.1230980 Text en © 2023 Collado Macián, Pujol Pocull, Dominguez, López-Azor, Garcia-Pavia, Nuñez and Cobo Marcos. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Collado Macián, Carlos
Pujol Pocull, David
Dominguez, Fernando
López-Azor, Juan Carlos
Garcia-Pavia, Pablo
Nuñez, Julio
Cobo Marcos, Marta
Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression
title Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression
title_full Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression
title_fullStr Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression
title_full_unstemmed Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression
title_short Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression
title_sort case report: alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570792/
https://www.ncbi.nlm.nih.gov/pubmed/37840957
http://dx.doi.org/10.3389/fcvm.2023.1230980
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