SciELO - Scientific Electronic Library Online

vol.15 número4Enfermedad cardiovascular, oncológica y reumatológica, su comportamiento en pacientes COVID-19: Factores pronósticos, complicaciones y tratamiento índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Insuficiencia cardíaca

versión On-line ISSN 1852-3862


LOBO MARQUEZ, Lilia Luz. Congestión y su diagnóstico en la insuficiencia cardíaca crónica descompensada. Insuf. card. [online]. 2020, vol.15, n.4, pp.106-118. ISSN 1852-3862.

Congestion in patients with decompensated chronic heart failure (HF) not only reflects heart muscle failure, but its pathophysiological mechanisms are heterogeneous. High filling pressures promote HF progression and cell death. Congestion is one of the main predictors of poor patient outcome in patients with HF; however, it is difficult to assess, especially when symptoms are mild. Although numerous clinical scores, imaging tools, and biomarkers tests are available to help clinicians determine and quantify congestion, not all are appropriate for use at all stages of patient treatment, and there are great difficulties in diagnosis. congestive patterns. Part of this failure is explained not only by the lateness of the clinical presentation, but also by the frequent dissociation between the clinical examination and hemodynamic profiles. Knowing and intervening early hemodynamic congestion patterns (preclinical stage) has favorable effects on quality of life and survival. In recent years, multi-method evaluation has become a very important tool to prevent hospitalizations for HF. Therapeutic interventions aimed at lowering elevated pulmonary capillary pressure change the prognosis of this population, with a greater impact than the improvement in HF. Technological advances will make it possible to detect early hemodynamic variations. Our greatest challenge is to implement new management strategies based on recent technologies.

Palabras clave : Chronic heart failure; Clinical congestion; Hemodynamic congestion; Monitoring; Biomarkers; Hand ultrasound.

        · resumen en Español | Portugués     · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons