Heart Science Journal
Vol 4, No 1 (2023): Optimizing Outcome in Acute Cardiac Care

Acute Decompensated Heart Failure: Current Role of Diuretics and Ultrafiltration

Dea Arie Kurniawan (Brawijaya University)
Indra Prasetya (Brawijaya University)
Sasmojo Widito (Brawijaya University)
Heny Martini (Brawijaya University)



Article Info

Publish Date
29 Jan 2023

Abstract

Acute decompensated heart failure (ADHF) continues to be the leading cause of hospitalization and has a poor prognosis. Loop diuretic had been long used as cornerstone therapy for congestion and volume overload. However, several factors including diuretic resistance and declining renal function reduced the loop diuretic's effectiveness, necessitating a different treatment strategy. In ADHF, ultrafiltration (UF) could be a promising method to volume management. UF appears to be more effective at removing fluid than diuretics, according to several studies, with better quality of life and lower rehospitalization. This review highlights the current state of knowledge regarding the use of diuretics and UF in ADHF patients, as well as the challenges and questions raised associated with each approach.

Copyrights © 2023






Journal Info

Abbrev

heartscience

Publisher

Subject

Health Professions Immunology & microbiology Medicine & Pharmacology

Description

HEART SCIENCE is the official open access journal of Brawijaya Cardiovascular Research Center, Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. The journal publishes articles three times per year in January, May, and September. The ...