Mineralocorticoid receptor antagonists as diuretics: Can congestive heart failure learn from liver failure?

Verfasser / Beitragende:
[Amirali Masoumi, Fernando Ortiz, Jai Radhakrishnan, Robert Schrier, Paolo Colombo]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/3(2015-05-01), 283-290
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10741-014-9467-2  |2 doi 
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245 0 0 |a Mineralocorticoid receptor antagonists as diuretics: Can congestive heart failure learn from liver failure?  |h [Elektronische Daten]  |c [Amirali Masoumi, Fernando Ortiz, Jai Radhakrishnan, Robert Schrier, Paolo Colombo] 
520 3 |a Despite significant improvements in diagnosis, understanding the pathophysiology and management of the patients with acute decompensated heart failure (ADHF), diuretic resistance, yet to be clearly defined, is a major hurdle. Secondary hyperaldosteronism is a pivotal factor in pathogenesis of sodium retention, refractory congestion in heart failure (HF) as well as diuretic resistance. In patients with decompensated cirrhosis who suffer from ascites, similar pathophysiological complications have been recognized. Administration of natriuretic doses of mineralocorticoid receptor antagonists (MRAs) has been well established in management of cirrhotic patients. However, this strategy in patients with ADHF has not been well studied. This article will discuss the potential use of natriuretic doses of MRAs to overcome the secondary hyperaldosteronism as an alternative diuretic regimen in patients with HF. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Heart failure  |2 nationallicence 
690 7 |a Cirrhosis  |2 nationallicence 
690 7 |a Hyperaldosteronism  |2 nationallicence 
690 7 |a Mineralocorticoid receptor antagonism  |2 nationallicence 
690 7 |a Refractory congestion  |2 nationallicence 
700 1 |a Masoumi  |D Amirali  |u Division of Cardiology, New York-Presbyterian Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA  |4 aut 
700 1 |a Ortiz  |D Fernando  |u Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA  |4 aut 
700 1 |a Radhakrishnan  |D Jai  |u Division of Nephrology, New York-Presbyterian Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA  |4 aut 
700 1 |a Schrier  |D Robert  |u Division of Nephrology, University of Colorado School of Medicine, Aurora, CO, USA  |4 aut 
700 1 |a Colombo  |D Paolo  |u Division of Cardiology, New York-Presbyterian Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA  |4 aut 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Masoumi  |D Amirali  |u Division of Cardiology, New York-Presbyterian Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ortiz  |D Fernando  |u Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Radhakrishnan  |D Jai  |u Division of Nephrology, New York-Presbyterian Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schrier  |D Robert  |u Division of Nephrology, University of Colorado School of Medicine, Aurora, CO, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Colombo  |D Paolo  |u Division of Cardiology, New York-Presbyterian Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/3(2015-05-01), 283-290  |x 1382-4147  |q 20:3<283  |1 2015  |2 20  |o 10741