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http://hdl.handle.net/1942/27435
Title: | How to tackle congestion in acute heart failure | Authors: | MARTENS, Pieter MULLENS, Wilfried |
Issue Date: | 2018 | Publisher: | KOREAN ASSOC INTERNAL MEDICINE | Source: | KOREAN JOURNAL OF INTERNAL MEDICINE, 33(3), p. 462-473 | Abstract: | 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. | Notes: | [Martens, Pieter; Mullens, Wilfried] Ziekenhuis Oost Limburg, Dept Cardiol, Schiepse Bos 6, B-3600 Genk, Belgium. [Martens, Pieter] Hasselt Univ, Doctoral Sch Med & Life Sci, Diepenbeek, Belgium. [Mullens, Wilfried] Hasselt Univ, Biomed Res Inst, Fac Med & Life Sci, Diepenbeek, Belgium. | Keywords: | Heart failure; Congestion;Heart failure; Congestion | Document URI: | http://hdl.handle.net/1942/27435 | ISSN: | 1226-3303 | e-ISSN: | 2005-6648 | DOI: | 10.3904/kjim.2017.355 | ISI #: | 000434262600002 | Rights: | 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. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
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martens 1.pdf | Published version | 872.32 kB | Adobe PDF | View/Open |
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