DIURETIC USAGE IN HEART FAILURE – A CONTINUING CONUNDRUM IN 2015
REVISTA ROMÂNĂ DE CARDIOLOGIE VETERINARĂ – NR. 3 – 2018
Nuala Summerfield
BSc BVM&S MRCVS DipACVIM (Cardiology) DipECVIM-CA (Cardiology)
University of Zurich Veterinary School, Switzerland
New Priory Veterinary Hospital Brighton, East Sussex, UK
CONTACT: nuala@new-priory.com
Despite continued advances in heart failure therapy, the prognosis remains poor for both human and veterinary cardiac patients.
Fluid retention and congestion account for many of the primary clinical manifestations of heart failure.
Diuretic therapy remains fundamental in the treatment of congestion and therefore plays a central role in heart failure management.
A clinically important concept to grasp that has relevance to veterinary medicine as well, is that congestion (defined as elevated cardiac filling pressures) is not always a result of volume overload. Patients who are admitted with decompensated heart failure typically present with signs and symptoms of congestion, especially elevated cardiac filling pressures.
(articol preluat din Ceva Sante Animale-3rd Human Veterinary Cross Talk Symposium Making tomorrow Happen Today Symposium 2016, Paris, cu acordul Ceva Sante Animale)