Abstract

SALANOVA VILLANUEVA¹, Laura; SANTOS SANCHEZ², Begoña  and  SAPIENCIA SANJINES², David. Tratamiento congestivo: diuréticos, resistencia diurética y alternativas: Papel de la ultrafiltración. Insuf. card. [online]. 2018, vol.13, n.2, pp.72-86. ISSN 1852-3862.

Patients with decompensated heart failure have a congestive state. Volume overloaded state is due to neurohormonal mechanisms activation that cause the retention of sodium and water by the kidney. This activation and congestion can lead to impaired renal function (cardio-renal syndrome). Congestive treatment is based on use of diuretics but the vast majority of these patients have diuretic resistance, as well as suffering from different side effects due to their use such as hydroelectrolytic alterations. Therapies such ultrafiltration or peritoneal dialysis have been evaluated in the treatment of congestive heart failure. Our objective is to make an approximation of other therapeutic strategies specially on ultrafiltration to resolve congestive state.

Keywords : Heart failure; Congestion; Diuretics; Ultrafiltration .

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