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Water and sodium in heart failure: a spotlight on congestion.

Publication ,  Journal Article
Parrinello, G; Greene, SJ; Torres, D; Alderman, M; Bonventre, JV; Di Pasquale, P; Gargani, L; Nohria, A; Fonarow, GC; Vaduganathan, M ...
Published in: Heart Fail Rev
January 2015

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.

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Published In

Heart Fail Rev

DOI

EISSN

1573-7322

Publication Date

January 2015

Volume

20

Issue

1

Start / End Page

13 / 24

Location

United States

Related Subject Headings

  • Symptom Assessment
  • Sodium, Dietary
  • Prognosis
  • Patient Discharge
  • Kidney
  • Humans
  • Hospitalization
  • Heart Failure
  • Diuretics
  • Cardiovascular System & Hematology
 

Citation

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Parrinello, G., Greene, S. J., Torres, D., Alderman, M., Bonventre, J. V., Di Pasquale, P., … Gheorghiade, M. (2015). Water and sodium in heart failure: a spotlight on congestion. Heart Fail Rev, 20(1), 13–24. https://doi.org/10.1007/s10741-014-9438-7
Parrinello, Gaspare, Stephen J. Greene, Daniele Torres, Michael Alderman, Joseph Vincent Bonventre, Pietro Di Pasquale, Luna Gargani, et al. “Water and sodium in heart failure: a spotlight on congestion.Heart Fail Rev 20, no. 1 (January 2015): 13–24. https://doi.org/10.1007/s10741-014-9438-7.
Parrinello G, Greene SJ, Torres D, Alderman M, Bonventre JV, Di Pasquale P, et al. Water and sodium in heart failure: a spotlight on congestion. Heart Fail Rev. 2015 Jan;20(1):13–24.
Parrinello, Gaspare, et al. “Water and sodium in heart failure: a spotlight on congestion.Heart Fail Rev, vol. 20, no. 1, Jan. 2015, pp. 13–24. Pubmed, doi:10.1007/s10741-014-9438-7.
Parrinello G, Greene SJ, Torres D, Alderman M, Bonventre JV, Di Pasquale P, Gargani L, Nohria A, Fonarow GC, Vaduganathan M, Butler J, Paterna S, Stevenson LW, Gheorghiade M. Water and sodium in heart failure: a spotlight on congestion. Heart Fail Rev. 2015 Jan;20(1):13–24.
Journal cover image

Published In

Heart Fail Rev

DOI

EISSN

1573-7322

Publication Date

January 2015

Volume

20

Issue

1

Start / End Page

13 / 24

Location

United States

Related Subject Headings

  • Symptom Assessment
  • Sodium, Dietary
  • Prognosis
  • Patient Discharge
  • Kidney
  • Humans
  • Hospitalization
  • Heart Failure
  • Diuretics
  • Cardiovascular System & Hematology