Assessment of filling pressures and fluid overload in heart failure: an updated perspective

Rafael De La Espriella, Marta Cobo, Enrique Santas, Frederik H Verbrugge, Marat Fudim, Nicolas Girerd, Gema Miñana, José Luis Górriz, Antoni Bayés-Genís, Julio Núñez

Onderzoeksoutput: Articlepeer review

24 Citaten (Scopus)

Samenvatting

Congestion plays a major role in the pathogenesis, presentation, and prognosis of heart failure and is an important therapeutic target. However, its severity and organ and compartment distribution vary widely among patients, illustrating the complexity of this phenomenon. Although clinical symptoms and signs are useful to assess congestion and manage volume status in individual patients, they have limited sensitivity and do not allow identification of congestion phenotype. This leads to diagnostic uncertainty and hampers therapeutic decision-making. The present article provides an updated overview of circulating biomarkers, imaging modalities (ie, cardiac and extracardiac ultrasound), and invasive techniques that might help clinicians to identify different congestion profiles and guide the management strategy in this diverse population of high-risk patients with heart failure.

Originele taal-2English
Pagina's (van-tot)47-57
Aantal pagina's11
TijdschriftRevista Española de Cardiología (English version)
Volume76
Nummer van het tijdschrift1
Vroegere onlinedatum4 aug 2022
DOI's
StatusPublished - jan 2023

Bibliografische nota

Copyright © 2022 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

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