Water and Sodium in Heart Failure: A Spotlight on Congestion
| Autor: | Parrinello, G., Greene, S., Torres, D., Alderman, M., Bonventre, J., Di Pasquale, P., Gargani, L., Nohria, A., Fonarow, G., Vaduganathan, M., Butler, J., Paterna, S., Stevenson, L., Gheorghiade, M. |
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| Přispěvatelé: | Parrinello, G, Greene, S, Torres, D, Alderman, M, Bonventre, J, Di Pasquale, P, Gargani, L, Nohria, A, Fonarow, G, Vaduganathan, M, Butler, J, Paterna, S, Stevenson, L, Gheorghiade, M, PARRINELLO, G |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Settore MED/09 - Medicina Interna Sodium diet Post discharge Dietary Context (language use) Cardiorespiratory Medicine and Haematology Cardiovascular Kidney Unmet needs Body Water Clinical Research Cardio-Renal Syndrome Outpatient setting medicine Humans Fluid intake Post-discharge Intensive care medicine Diuretics Outcome Heart Failure business.industry Sodium Sodium Dietary medicine.disease Prognosis Patient Discharge Management Hospitalization Heart Disease Cardiovascular System & Hematology Heart failure Hospital admission Congestion Symptom Assessment Cardiology and Cardiovascular Medicine business Standard therapy Biomarkers Heart failure Congestion Post-discharge Fluid intake Sodium diet Management Outcome |
| Zdroj: | Heart failure reviews, vol 20, iss 1 |
| Popis: | Despite all available therapies, the rates of hospitalization and death from heart failure (HF) remain unacceptably high. The most common reasons for hospital admission are symptoms related to congestion. During hospitalization, most patients respond well to standard therapy and are discharged with significantly improved symptoms. Post-discharge, many patients receive diligent and frequent follow-up. However, rehospitalization rates remain high. One potential explanation is a persistent failure by clinicians to adequately manage congestion in the outpatient setting. The failure to successfully manage these patients post-discharge may represent an unmet need to improve the way congestion is both recognized and treated. A primary aim of future HF management may be to improve clinical surveillance to prevent and manage chronic fluid overload while simultaneously maximizing the use of evidence-based therapies with proven long-term benefit. Improvement in cardiac function is the ultimate goal and maintenance of a ‘‘dry’’ clinical profile is important to prevent hospital admission and improve prognosis. This paper focuses on methods for monitoring congestion, and strategies for water and sodium management in the context of the complex interplay between the cardiac and renal systems. A rationale for improving recognition and treatment of congestion is also proposed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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