Water and Sodium in Heart Failure: A Spotlight on Congestion

Verfasser / Beitragende:
[Gaspare Parrinello, Stephen Greene, Daniele Torres, Michael Alderman, Joseph Bonventre, Pietro Di Pasquale, Luna Gargani, Anju Nohria, Gregg Fonarow, Muthiah Vaduganathan, Javed Butler, Salvatore Paterna, Lynne Stevenson, Mihai Gheorghiade]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/1(2015-01-01), 13-24
Format:
Artikel (online)
ID: 605478627
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024 7 0 |a 10.1007/s10741-014-9438-7  |2 doi 
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245 0 0 |a Water and Sodium in Heart Failure: A Spotlight on Congestion  |h [Elektronische Daten]  |c [Gaspare Parrinello, Stephen Greene, Daniele Torres, Michael Alderman, Joseph Bonventre, Pietro Di Pasquale, Luna Gargani, Anju Nohria, Gregg Fonarow, Muthiah Vaduganathan, Javed Butler, Salvatore Paterna, Lynne Stevenson, Mihai Gheorghiade] 
520 3 |a 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. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Heart failure  |2 nationallicence 
690 7 |a Congestion  |2 nationallicence 
690 7 |a Post-discharge  |2 nationallicence 
690 7 |a Fluid intake  |2 nationallicence 
690 7 |a Sodium diet  |2 nationallicence 
690 7 |a Management  |2 nationallicence 
690 7 |a Outcome  |2 nationallicence 
700 1 |a Parrinello  |D Gaspare  |u Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U.P "Paolo Giaccone”, University of Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy  |4 aut 
700 1 |a Greene  |D Stephen  |u Center for Cardiovascular Innovation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA  |4 aut 
700 1 |a Torres  |D Daniele  |u Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U.P "Paolo Giaccone”, University of Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy  |4 aut 
700 1 |a Alderman  |D Michael  |u Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Yeshiva University, New York, USA  |4 aut 
700 1 |a Bonventre  |D Joseph  |u Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
700 1 |a Di Pasquale  |D Pietro  |u Division of Cardiology, GF Ingrassia Hospital, Palermo, Italy  |4 aut 
700 1 |a Gargani  |D Luna  |u Institute of Clinical Physiology, National Council of Research, Pisa, Italy  |4 aut 
700 1 |a Nohria  |D Anju  |u Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
700 1 |a Fonarow  |D Gregg  |u Ronald Reagan-UCLA Medical Center, Los Angeles, CA, USA  |4 aut 
700 1 |a Vaduganathan  |D Muthiah  |u Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
700 1 |a Butler  |D Javed  |u Division of Cardiology, Emory University, Atlanta, GA, USA  |4 aut 
700 1 |a Paterna  |D Salvatore  |u Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U.P "Paolo Giaccone”, University of Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy  |4 aut 
700 1 |a Stevenson  |D Lynne  |u Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
700 1 |a Gheorghiade  |D Mihai  |u Center for Cardiovascular Innovation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/1(2015-01-01), 13-24  |x 1382-4147  |q 20:1<13  |1 2015  |2 20  |o 10741 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Parrinello  |D Gaspare  |u Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U.P "Paolo Giaccone”, University of Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Greene  |D Stephen  |u Center for Cardiovascular Innovation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Torres  |D Daniele  |u Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U.P "Paolo Giaccone”, University of Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Alderman  |D Michael  |u Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Yeshiva University, New York, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bonventre  |D Joseph  |u Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Di Pasquale  |D Pietro  |u Division of Cardiology, GF Ingrassia Hospital, Palermo, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gargani  |D Luna  |u Institute of Clinical Physiology, National Council of Research, Pisa, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nohria  |D Anju  |u Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fonarow  |D Gregg  |u Ronald Reagan-UCLA Medical Center, Los Angeles, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Vaduganathan  |D Muthiah  |u Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Butler  |D Javed  |u Division of Cardiology, Emory University, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Paterna  |D Salvatore  |u Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U.P "Paolo Giaccone”, University of Palermo, Piazza delle Cliniche 2, 90127, Palermo, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Stevenson  |D Lynne  |u Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gheorghiade  |D Mihai  |u Center for Cardiovascular Innovation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/1(2015-01-01), 13-24  |x 1382-4147  |q 20:1<13  |1 2015  |2 20  |o 10741