title: How should diuretic-refractory, volume-overloaded heart failure patients be managed?
abstract: Hospitalization is often required for patients with decompensated heart failure, usually with volume overload. Intravenous diuretics are recommended to optimize volume status; however, the management of patients refractory to diuretic therapy is not addressed in American Heart Association/American College of Cardiology, European Society of Cardiology or Heart Failure Society of America guidelines. This review focuses the invasive/interventional cardiologist on the rationale for greater involvement in the care of patients admitted to the hospital with decompensated volume overload, in particular when such patients are diuretic refractory.
authors.affiliation: Division of Cardiology, St. Luke's-Roosevelt Hospital Center, New York, New York, USA. jsbernst@nshs.edu
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Sackner-Bernstein
authors.forename: Rimvida
authors.initials: R
authors.lastname: Obeleniene
mesh_terms: D001810:Blood Volume / Q000187:drug effects / Q000502:physiology*; D004232:Diuretics / Q000627:therapeutic use; D006333:Heart Failure / Q000188:drug therapy / Q000503:physiopathology / Q000628:therapy*; D006440:Hemofiltration / Q000379:methods*; D006801:Humans
chemical_list: D004232:Diuretics