急性失代偿性心力衰竭的利尿策略。

IF 4.5 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart Failure Reviews Pub Date : 2025-03-01 Epub Date: 2024-12-15 DOI:10.1007/s10741-024-10473-z

Kevin Bryan Lo, Anju Nohria

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引用次数: 0

摘要

ADHF住院与预后不良有关，出院时残留的充血显著增加了HF再入院和死亡的风险。利尿剂抵抗是ADHF治疗期间充血不足的主要原因。在这篇综述中，我们讨论各种消血策略，强调利尿剂耐药性的管理。此外，我们研究了当前缓解拥堵试验的局限性，并强调了未来研究的关键优先事项。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Diuretic strategies in acute decompensated heart failure.

Hospitalization for ADHF is linked to poor outcomes, with residual congestion at discharge significantly increasing the risk of HF readmissions and mortality. Diuretic resistance is a major contributor to inadequate decongestion during ADHF treatment. In this review, we discuss various decongestive strategies, emphasizing the management of diuretic resistance. Additionally, we examine the limitations of current decongestion trials and highlight key priorities for future research.

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来源期刊

Heart Failure Reviews 医学-心血管系统

CiteScore

10.40

自引率

2.20%

发文量

审稿时长

6-12 weeks

期刊介绍： Heart Failure Reviews is an international journal which develops links between basic scientists and clinical investigators, creating a unique, interdisciplinary dialogue focused on heart failure, its pathogenesis and treatment. The journal accordingly publishes papers in both basic and clinical research fields. Topics covered include clinical and surgical approaches to therapy, basic pharmacology, biochemistry, molecular biology, pathology, and electrophysiology. The reviews are comprehensive, expanding the reader''s knowledge base and awareness of current research and new findings in this rapidly growing field of cardiovascular medicine. All reviews are thoroughly peer-reviewed before publication.