Fractional Excretion of Urate for Diuresis Management in Heart Failure and Cardiorenal Syndrome.

Autor: Berger AA; Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA., Mawson TL; Internal Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA., Dejam A; Internal Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA.; Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA.
Jazyk: angličtina
Zdroj: JACC. Case reports [JACC Case Rep] 2021 Apr 07; Vol. 3 (7), pp. 1051-1054. Date of Electronic Publication: 2021 Apr 07 (Print Publication: 2021).
DOI: 10.1016/j.jaccas.2020.12.035
Abstrakt: Most heart failure hospitalizations are due to volume overload; however, it is not easily evaluated by physical examination. Avoidance of diuresis in patients with fluid overload to avoid acute kidney injury increases morbidity in heart failure. We hypothesize that fractional excretion of urate can be used to guide diuresis. ( Level of Difficulty: Advanced. ).
Competing Interests: All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this paper, take responsibility for the integrity of the work as a whole, and have given their approval for this version to be published. The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2021 The Authors.)
Databáze: MEDLINE