Ultrafiltration versus diuretics in congestive heart failure.
Acute decompensated heart failure often coexists with renal failure, and together they increase in-hospital mortality. Sometimes either condition arises because of the decompensation of chronic kidney disease or chronic heart failure. High-dose diuretics along with vasodilators and other medications are the standard first-line therapy but are sometimes ineffective because of the development of diuretic resistance or acute kidney injury. Fluid can be removed with different forms of dialytic techniques, but controversy exists about how and when to perform these procedures. This article explores the risks and benefits of technological approaches and the existing evidence for the best course of action.
Flessner
Michael F
MF
Division of Nephrology, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. mfflessner@comcast.net
Zsom
Lajos
L
Juncos
Luis
L
D058186:Acute Kidney Injury / Q000628:therapy; D004232:Diuretics / Q000627:therapeutic use*; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D014462:Ultrafiltration / Q000009:adverse effects; D055815:Young Adult
D004232:Diuretics