Hypertonic saline in acute decompensated heart failure (HSHF).

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Indian heart journal Pub Date : 2024-11-22 DOI:10.1016/j.ihj.2024.11.246
Shweta Agrawal, Sunil Abhishek Batta, Tarun Rao, Sumithra Selvam
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Abstract

Hypertonic saline with high dose furosemide improves refractory heart failure. In this case series of 10 patients of refractory acute decompensated heart failure, effect of HSS with furosemide was compared with furosemide alone. Patients responded to the therapy better, with faster decongestion, without significant adverse effects or worsening renal function. Hence an adequately powered, randomized study is required to assess the veracity of findings in this case series of hypertonic saline in diuretic resistant acute decompensated heart failure on optimal therapy. Based on present study, hypertonic saline looks like a promising option in the management of refractory heart failure.

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高渗盐水治疗急性失代偿性心力衰竭 (HSHF)。
高渗盐水联合大剂量呋塞米可改善难治性心力衰竭。在这组 10 例难治性急性失代偿性心力衰竭患者的病例中,高渗盐水联合呋塞米与单独使用呋塞米的效果进行了比较。患者对该疗法的反应更好,减充血更快,且无明显不良反应或肾功能恶化。因此,需要进行充分有效的随机研究,以评估高渗盐水治疗利尿剂耐药的急性失代偿性心力衰竭最佳疗法系列病例研究结果的真实性。根据目前的研究,高渗盐水似乎是治疗难治性心力衰竭的一种很有前景的选择。
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来源期刊
Indian heart journal
Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.60
自引率
6.70%
发文量
82
审稿时长
52 days
期刊介绍: Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.
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