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How to tackle congestion in acute heart failure
Acute heart failure is a common complication of chronic heart failure and is associated with a high risk for subsequent mortality and morbidity. In 90% of case acute heart failure is the resultant of congestion, a manifestation of fluid build-up due to increased filling pressures. As residual conges...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Association of Internal Medicine
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943665/ https://www.ncbi.nlm.nih.gov/pubmed/29627971 http://dx.doi.org/10.3904/kjim.2017.355 |
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author | Martens, Pieter Mullens, Wilfried |
author_facet | Martens, Pieter Mullens, Wilfried |
author_sort | Martens, Pieter |
collection | PubMed |
description | Acute heart failure is a common complication of chronic heart failure and is associated with a high risk for subsequent mortality and morbidity. In 90% of case acute heart failure is the resultant of congestion, a manifestation of fluid build-up due to increased filling pressures. As residual congestion at discharge following an acute heart failure episodes is one of the strongest predictors of poor outcome, the goal of therapy should be to resolve congestion completely. Important to comprehend is that increased cardiovascular filling pressures are not solely the resultant of intravascular volume excess but can also be induced by a decreased venous capacitance. This review article focusses on the pathophysiology, diagnoses, and treatment of congestion in acute heart failure. A clear distinction is made between states of volume overload (intravascular volume excess) or volume redistribution (decreased venous capacitance) contributing to congestion in acute heart failure. |
format | Online Article Text |
id | pubmed-5943665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Korean Association of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-59436652018-05-16 How to tackle congestion in acute heart failure Martens, Pieter Mullens, Wilfried Korean J Intern Med Review Acute heart failure is a common complication of chronic heart failure and is associated with a high risk for subsequent mortality and morbidity. In 90% of case acute heart failure is the resultant of congestion, a manifestation of fluid build-up due to increased filling pressures. As residual congestion at discharge following an acute heart failure episodes is one of the strongest predictors of poor outcome, the goal of therapy should be to resolve congestion completely. Important to comprehend is that increased cardiovascular filling pressures are not solely the resultant of intravascular volume excess but can also be induced by a decreased venous capacitance. This review article focusses on the pathophysiology, diagnoses, and treatment of congestion in acute heart failure. A clear distinction is made between states of volume overload (intravascular volume excess) or volume redistribution (decreased venous capacitance) contributing to congestion in acute heart failure. The Korean Association of Internal Medicine 2018-05 2018-04-11 /pmc/articles/PMC5943665/ /pubmed/29627971 http://dx.doi.org/10.3904/kjim.2017.355 Text en Copyright © 2018 The Korean Association of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Martens, Pieter Mullens, Wilfried How to tackle congestion in acute heart failure |
title | How to tackle congestion in acute heart failure |
title_full | How to tackle congestion in acute heart failure |
title_fullStr | How to tackle congestion in acute heart failure |
title_full_unstemmed | How to tackle congestion in acute heart failure |
title_short | How to tackle congestion in acute heart failure |
title_sort | how to tackle congestion in acute heart failure |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943665/ https://www.ncbi.nlm.nih.gov/pubmed/29627971 http://dx.doi.org/10.3904/kjim.2017.355 |
work_keys_str_mv | AT martenspieter howtotacklecongestioninacuteheartfailure AT mullenswilfried howtotacklecongestioninacuteheartfailure |