Consensus on the approach to hydrosaline overload in acute heart failure. SEMI/SEC/SEN recommendations

doi:10.1016/j.rec.2024.01.008

Consensus on the approach to hydrosaline overload in acute heart failure. SEMI/SEC/SEN recommendations

2024-07-01

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Rafael de la Espriella

José Luís Morales‐Rull

DOI：10.1016/j.rec.2024.01.008

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Most of the signs and symptoms of heart failure can be explained by fluid overload, which is also related to disease progression. Fluid overload is a complex phenomenon that extends beyond increased intravascular pressures and poses challenges for accurate diagnosis and effective treatment. Current recommendations advise a multiparametric approach, including clinical data (symptoms/signs), imaging tests, and biomarkers. This article proposes a practical therapeutic approach to managing hydrosaline overload in heart failure in both inpatient and outpatient settings. This document is an initiative of the Spanish Society of Internal Medicine (SEMI) in collaboration with the Spanish Society of Cardiology (SEC) and the Spanish Society of Nephrology (S.E.N.). (C) 2024 Sociedad Espaola ola de Cardiologa. Published by Elsevier Espana, S.L.U. All rights reserved.

Keywords:

Acute heart failure

Fluid overload

Multiparametric approach

Diuretics

Consensus on the approach to hydrosaline overload in acute heart failure. SEMI/SEC/SEN recommendations

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