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Renal function, electrolytes, and congestion monitoring in heart failure

Abstract : Congestion, renal function, and electrolyte imbalance (particularly potassium) are common problems in the management of the complex multi-morbid patient with heart failure (HF). Poor control of these fundamental clinical features is associated with adverse outcomes. Close monitoring of serum potassium and renal function is recommended by most current guidelines during the management of an episode of acute decompensated HF, yet the recommendations remain poorly implemented. Physicians are advised to treat a state of euvolaemia after an admission with decompensated HF and residual congestion is a marker of worse outcome, yet control of congestion is poorly assessed and managed in real-world practice. This document reflects the key points discussed by a panel of experts during a Heart Failure Association meeting on physiological monitoring of the complex multi-morbid HF patient, and here, we present to aspects related to renal function, electrolyte, and congestion monitoring. Published on behalf of the European Society of Cardiology. © The Author(s) 2019.
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Submitted on : Monday, March 23, 2020 - 5:32:21 PM
Last modification on : Monday, December 21, 2020 - 3:32:04 PM

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Patrick Rossignol, Andrew Js Coats, Ovidiu Chioncel, Ilaria Spoletini, Giuseppe Rosano. Renal function, electrolytes, and congestion monitoring in heart failure. European Heart Journal Supplements, Oxford University Press (OUP), 2019, 21 (Supplement_M), pp.M25-M31. ⟨10.1093/eurheartj/suz220⟩. ⟨hal-02516027⟩

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