• Medicina clinica · Aug 2023

    Usefulness of short-term peripheral ambulatory ultrafiltration in heart failure refractory to diuretics. Initial experience.

    • Borja Guerrero Cervera, Raquel López-Vilella, Ignacio Sánchez Lázaro, Rafael Carbonell Vayá, Donoso TrenadoVíctorVServicio de Cardiología, Hospital Universitari i Politècnic La Fe, Valencia, España; Unidad de Insuficiencia Cardiaca y Trasplante, Hospital Universitari i Politècnic La Fe, Valencia, España., and Almenar BonetLuisLServicio de Cardiología, Hospital Universitari i Politècnic La Fe, Valencia, España; Unidad de Insuficiencia Cardiaca y Trasplante, Hospital Universitari i Politècnic La Fe, Valencia, España; Departamento de Medicina, Universidad de Vale.
    • Servicio de Cardiología, Hospital Universitari i Politècnic La Fe, Valencia, España. Electronic address: borja_vlc95@hotmail.com.
    • Med Clin (Barc). 2023 Aug 25; 161 (4): 154157154-157.

    Introduction And ObjectiveIn heart failure congestion is the most common symptom and diuretic resistance is frequent. This study aims to analyse whether short-term peripheral outpatient ultrafiltration (UF) is useful and safe in these patients.Material And MethodsThe first 5 patients ultrafiltrated for diuretic resistance in a fast-track unit of a referral hospital for 12hours were analysed.ResultsThese patients were on treatment with at least 3 oral diuretics; UF made it possible to reduce and/or withdraw some of them. The volume extracted during the procedure was 1520±271ml. There were significant changes in diuresis (PreUF: 1360±164, PostUF: 1670±254ml; P=.035), weight (PreUF: 69.6±14, PostUF: 66.2±15kg; P=.0001) and creatinine (PreUF: 2.1±0.3, PostUF: 1.8±0.4mg; P= 0.023).ConclusionsIn outpatients with heart failure and diuretic resistance, short-course peripheral UF was effective and safe.Copyright © 2023 Elsevier España, S.L.U. All rights reserved.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…