Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression.

Autor:	Collado Macián C; Department of Cardiology, Hospital Universitario Puerta de Hierro Majadahonda, (IDIPHISA), Madrid, Spain., Pujol Pocull D; Department of Cardiology, Hospital Universitario Puerta de Hierro Majadahonda, (IDIPHISA), Madrid, Spain., Dominguez F; Department of Cardiology, Hospital Universitario Puerta de Hierro Majadahonda, (IDIPHISA), Madrid, Spain.; Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain., López-Azor JC; Department of Cardiology, Hospital Universitario Puerta de Hierro Majadahonda, (IDIPHISA), Madrid, Spain., Garcia-Pavia P; Department of Cardiology, Hospital Universitario Puerta de Hierro Majadahonda, (IDIPHISA), Madrid, Spain.; Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.; Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain., Nuñez J; Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.; Department of Cardiology, Hospital Clínico Universitario de Valencia, INCLIVA, Universidad de Valencia, Valencia, Spain., Cobo Marcos M; Department of Cardiology, Hospital Universitario Puerta de Hierro Majadahonda, (IDIPHISA), Madrid, Spain.; Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Frontiers in cardiovascular medicine [Front Cardiovasc Med] 2023 Sep 29; Vol. 10, pp. 1230980. Date of Electronic Publication: 2023 Sep 29 (Print Publication: 2023).
DOI:	10.3389/fcvm.2023.1230980
Abstrakt:	Background: Management of patients with refractory congestion, is one of the most important challenges in the field of heart failure (HF). Diuretic therapy remains the most widely used therapy to achieve euvolemia. However, some patients experience fluid overload despite the use of high-dose diuretics and new strategies to overcome diuretic resistance are needed. Case Summary: We report an 85 years-old male patient admitted for decompensated HF with persistent tissue fluid overload (peripheral edema) for more than two weeks despite high dose of intravenous furosemide with the combination of other diuretics. At this point, we performed leg venous compression using elastic bandages for three days. After 72 h, edema disappeared, and additional weight loss was achieved (1 kg/day). No side effects were observed and the patient was discharged home euvolemic. Conclusion: Venous leg compression may be an alternative therapy in patients with persistent tissue fluid overload resistant to diuretics. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2023 Collado Macián, Pujol Pocull, Dominguez, López-Azor, Garcia-Pavia, Nuñez and Cobo Marcos.)
Databáze:	MEDLINE
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