Abstract

INZUNZA-CERVANTES, Gustavo et al. Diagnosis and management of congestion in acute heart failure. Rev.Urug.Cardiol. [online]. 2024, vol.39, n.1, e402.  Epub Dec 01, 2024. ISSN 0797-0048.  https://doi.org/10.29277/cardio.39.1.7.

Congestion in patients with heart failure represents a manifestation of various cardiovascular structural and functional processes, associated with high morbidity and mortality and reduced quality of life, being considered the main cause of hospitalization and readmission due to heart failure. During the last decades, a better understanding of the various triggering pathophysiological events has been achieved, modifying their prognosis, diagnosis, and treatment. Due to these constant advances, its frequent review and analysis is necessary. The care of patients with heart failure and episodes of congestion is complex and crucial. Its approach begins with early recognition of clinical manifestations, use of non-invasive diagnostic methods, delimitation of the congestion profile; followed by timely, intensive, and effective management that contemplates the early use of intravenous diuretics, evaluation of decongestion goals and, in specific cases, combined diuretic therapy, and even vasoactive medications or continuous ultrafiltration.

Keywords : HEART FAILURE; DIURETICS; KIDNEY FUNCTION; FUROSEMIDE.

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