Pau Llàcer , Gregorio Romero , Joan Carles Trullàs , Rafael de la Espriella , Marta Cobo , Borja Quiroga , Jesús Casado , María F. Slon-Roblero , José Luis Morales-Rull , José Ignacio Morgado , Alberto Ortiz , Francesc Formiga , María Melendo-Viu , Patricia de Sequera , Alejandro Recio , Javier Díez , Luis Manzano , Julio Núñez
{"title":"Consensus on the approach to hydrosaline overload in acute heart failure. SEMI/SEC/S.E.N. recommendations","authors":"Pau Llàcer , Gregorio Romero , Joan Carles Trullàs , Rafael de la Espriella , Marta Cobo , Borja Quiroga , Jesús Casado , María F. Slon-Roblero , José Luis Morales-Rull , José Ignacio Morgado , Alberto Ortiz , Francesc Formiga , María Melendo-Viu , Patricia de Sequera , Alejandro Recio , Javier Díez , Luis Manzano , Julio Núñez","doi":"10.1016/j.rec.2024.01.008","DOIUrl":null,"url":null,"abstract":"<div><p>Most of the signs and symptoms of heart failure can be explained by fluid overload, which is also related to disease progression. Fluid overload is a complex phenomenon that extends beyond increased intravascular pressures and poses challenges for accurate diagnosis and effective treatment. Current recommendations advise a multiparametric approach, including clinical data (symptoms/signs), imaging tests, and biomarkers. This article proposes a practical therapeutic approach to managing hydrosaline overload in heart failure in both inpatient and outpatient settings. This document is an initiative of the Spanish Society of Internal Medicine (SEMI) in collaboration with the Spanish Society of Cardiology (SEC) and the Spanish Society of Nephrology (S.E.N.).</p></div>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":null,"pages":null},"PeriodicalIF":7.2000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista española de cardiología (English ed.)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1885585724000744","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Most of the signs and symptoms of heart failure can be explained by fluid overload, which is also related to disease progression. Fluid overload is a complex phenomenon that extends beyond increased intravascular pressures and poses challenges for accurate diagnosis and effective treatment. Current recommendations advise a multiparametric approach, including clinical data (symptoms/signs), imaging tests, and biomarkers. This article proposes a practical therapeutic approach to managing hydrosaline overload in heart failure in both inpatient and outpatient settings. This document is an initiative of the Spanish Society of Internal Medicine (SEMI) in collaboration with the Spanish Society of Cardiology (SEC) and the Spanish Society of Nephrology (S.E.N.).