• Arch Med Sci · Jan 2023

    Timing of decongestion and its impact on acute heart failure prognosis.

    • Aneta Kosiorek, Wojciech Tokarczyk, Oskar Szymański, Jan Biegus, and Robert Zymliński.
    • Institute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
    • Arch Med Sci. 2023 Jan 1; 19 (5): 155115571551-1557.

    IntroductionThe risk of unfavourable outcomes after an acute heart failure (AHF) episode remains high. Effective decongestion, reflected by haemoconcentration (HC), may guide therapy. Optimal timing of HC remains unspecified.MethodsWe analysed the AHF registry to evaluate the prognostic differences of various timing of HC. Subjects were divided into 3 groups by time of reaching HC.ResultsThe groups differed in terms of 1-year occurrence of a composite of the mortality and AHF hospitalization (26% vs. 46% vs. 40%, early vs. late vs. no HC, p = 0.016).ConclusionsPatients reaching HC earlier seem to present the best prognosis regarding the analysed composite endpoint.Copyright: © 2023 Termedia & Banach.

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