The utility of urine sodium-guided diuresis during acute decompensated heart failure

被引：3

作者：

Siddiqi, Hasan K. ^{[1
]}

Cox, Zachary L. ^{[2
,3
]}

Stevenson, Lynne W. ^{[1
]}

Damman, Kevin ^{[4
]}

ter Maaten, Jozine M. ^{[4
]}

Bales, Brian ^{[5
]}

Han, Jin H. ^{[5
,6
]}

Ivey-Miranda, Juan B. ^{[7
,8
]}

Lindenfeld, JoAnn ^{[1
]}

Miller, Karen F. ^{[5
]}

Ooi, Henry ^{[1
,9
]}

Rao, Veena S. ^{[7
]}

Schlendorf, Kelly ^{[1
]}

Storrow, Alan B. ^{[5
]}

Walsh, Ryan ^{[5
]}

Wrenn, Jesse ^{[5
]}

Testani, Jeffrey M. ^{[7
]}

Collins, Sean P. ^{[5
,6
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Dept Med, North Tower,1215 21st Ave South,5th Floor,Off 5033, Nashville, TN 37232 USA

[2] Lipscomb Univ, Dept Pharm, Coll Pharm, Nashville, TN USA

[3] Vanderbilt Univ, Med Ctr, Dept Pharm, Nashville, TN USA

[4] Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands

[5] Vanderbilt Univ, Med Ctr, Dept Emergency Med, Nashville, TN USA

[6] Tennessee Valley Healthcare Syst, Geriatr Res Educ & Clin Ctr, Nashville, TN USA

[7] Yale Univ, Dept Internal Med, Sch Med, New Haven, CT USA

[8] Hosp Cardiol, Inst Mexicano Seguro Social, Mexico City, Mexico

[9] Vet Affairs Tennessee Valley Healthcare Syst, Dept Med, Nashville, TN USA

来源：

HEART FAILURE REVIEWS | 2024年 / 29卷 / 06期

关键词：

Acute decompensated heart failure; Diuresis; Diuretic strategy; Natriuresis; Decongestion; Urine sodium; NATRIURETIC RESPONSE; INTRAVENOUS DIURETICS; AMERICAN-COLLEGE; OUTCOMES; ULTRAFILTRATION; CONGESTION; EFFICACY; SAFETY; AHF; HOSPITALIZATION;

D O I：

10.1007/s10741-024-10424-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diuresis to achieve decongestion is a central aim of therapy in patients hospitalized for acute decompensated heart failure (ADHF). While multiple approaches have been tried to achieve adequate decongestion rapidly while minimizing adverse effects, no single diuretic strategy has shown superiority, and there is a paucity of data and guidelines to utilize in making these decisions. Observational cohort studies have shown associations between urine sodium excretion and outcomes after hospitalization for ADHF. Urine chemistries (urine sodium +/- urine creatinine) may guide diuretic titration during ADHF, and multiple randomized clinical trials have been designed to compare a strategy of urine chemistry-guided diuresis to usual care. This review will summarize current literature for diuretic monitoring and titration strategies, outline evidence gaps, and describe the recently completed and ongoing clinical trials to address these gaps in patients with ADHF with a particular focus on the utility of urine sodium-guided strategies.

引用

页码：1161 / 1173

页数：13

共 61 条

[51] Natriuretic Equation to Predict Loop Diuretic Response in Patients With Heart Failure [J].

Rao, Veena S. ;

Ivey-Miranda, Juan B. ;

Cox, Zachary L. ;

Riello, Ralph ;

Griffin, Matthew ;

Fleming, James ;

Soucier, Richard ;

Sangkachand, Prasama ;

O'Brien, Margaret ;

LoRusso, Francine ;

D'Ambrosi, Julie ;

Churchwell, Keith ;

Mahoney, Devin ;

Bellumkonda, Lavanya ;

Asher, Jennifer L. ;

Maulion, Christopher ;

Turner, Jeffrey M. ;

Wilson, F. Perry ;

Collins, Sean P. ;

Testani, Jeffrey M. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 77 (06) :695-708

[52] Effects of Early Empagliflozin Initiation on Diuresis and Kidney Function in Patients With Acute Decompensated Heart Failure (EMPAG-HF) [J].

Schulze, P. Christian ;

Bogoviku, Juergen ;

Westphal, Julian ;

Aftanski, Pawel ;

Haertel, Franz ;

Grund, Sissy ;

von Haehling, Stephan ;

Schumacher, Ulrike ;

Moebius-Winkler, Sven ;

Busch, Martin .

CIRCULATION, 2022, 146 (04) :289-298

[53] Insufficient Natriuretic Response to Continuous Intravenous Furosemide Is Associated With Poor Long-Term Outcomes in Acute Decompensated Heart Failure [J].

Singh, Dhssraj ;

Shrestha, Kevin ;

Testani, Jeffrey M. ;

Verbrugge, Frederik H. ;

Dupont, Matthias ;

Mullens, Wilfried ;

Tang, W. H. Wilson .

JOURNAL OF CARDIAC FAILURE, 2014, 20 (06) :392-399

[54] Natriuresis-guided diuretic therapy in acute heart failure: a pragmatic randomized trial [J].

ter Maaten, Jozine M. ;

Beldhuis, Iris E. ;

van der Meer, Peter ;

Krikken, Jan A. ;

Postmus, Douwe ;

Coster, Jenifer E. ;

Nieuwland, Wybe ;

van Veldhuisen, Dirk J. ;

Voors, Adriaan A. ;

Damman, Kevin .

NATURE MEDICINE, 2023, 29 (10) :2625-+

[55] Natriuresis-guided therapy in acute heart failure: rationale and design of the Pragmatic Urinary Sodium-based treatment algoritHm in Acute Heart Failure (PUSH-AHF) trial [J].

ter Maaten, Jozine M. ;

Beldhuis, Iris E. ;

van der Meer, Peter ;

Krikken, Jan A. ;

Coster, Jenifer E. ;

Nieuwland, Wybe ;

van Veldhuisen, Dirk J. ;

Voors, Adriaan A. ;

Damman, Kevin .

EUROPEAN JOURNAL OF HEART FAILURE, 2022, 24 (02) :385-392

[56] Rapid and Highly Accurate Prediction of Poor Loop Diuretic Natriuretic Response in Patients With Heart Failure [J].

Testani, Jeffrey M. ;

Hanberg, Jennifer S. ;

Cheng, Susan ;

Rao, Veena ;

Onyebeke, Chukwuma ;

Laur, Olga ;

Kula, Alexander ;

Chen, Michael ;

Wilson, F. Perry ;

Darlington, Andrew ;

Bellumkonda, Lavanya ;

Jacoby, Daniel ;

Tang, W. H. Wilson ;

Parikh, Chirag R. .

CIRCULATION-HEART FAILURE, 2016, 9 (01)

[57] Substantial Discrepancy Between Fluid and Weight Loss During Acute Decompensated Heart Failure Treatment [J].

Testani, Jeffrey M. ;

Brisco, Meredith A. ;

Kociol, Robb D. ;

Jacoby, Daniel ;

Bellumkonda, Lavanya ;

Parikh, Chirag R. ;

Coca, Steven G. ;

Tang, W. H. Wilson .

AMERICAN JOURNAL OF MEDICINE, 2015, 128 (07) :776-U166

[58] Efficacy and safety of high dose versus low dose furosemide with or without dopamine infusion: The Dopamine in Acute Decompensated Heart Failure II (DAD-HF II) Trial [J].

Triposkiadis, Filippos K. ;

Butler, Javed ;

Karayannis, Georgios ;

Starling, Randall C. ;

Filippatos, Gerasimos ;

Wolski, Kathy ;

Parissis, John ;

Parisis, Charalabos ;

Rovithis, Dimitrios ;

Koutrakis, Konstantinos ;

Skoularigis, John ;

Antoniou, Christos-Konstantinos ;

Chrysohoou, Christina ;

Pitsavos, Christos ;

Stefanadis, Christodoulos ;

Nastas, John ;

Tsaknakis, Themistoklis ;

Mantziari, Lilian ;

Giannakoulas, Georgios ;

Karvounis, Haralambos ;

Kalogeropoulos, Andreas P. ;

Giamouzis, Gregory .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2014, 172 (01) :115-121

[59] Combining loop with thiazide diuretics for decompensated heart failure: the CLOROTIC trial [J].

Trullas, Joan Carles ;

Morales-Rull, Jose Luis ;

Casado, Jesus ;

Carrera-Izquierdo, Margarita ;

Sanchez-Marteles, Marta ;

Conde-Martel, Alicia ;

Davila-Ramos, Meliton Francisco ;

Llacer, Pau ;

Salamanca-Bautista, Prado ;

Perez-Silvestre, Jose ;

Plasin, Miguel angel ;

Cerqueiro, Jose Manuel ;

Gil, Paloma ;

Formiga, Francesc ;

Manzano, Luis ;

Morales, Jose Luis ;

CLOROTIC Trial Investigators .

EUROPEAN HEART JOURNAL, 2023, 44 (05) :411-421

[60] Natriuretic Response to Acetazolamide in Patients With Acute Heart Failure and Volume Overload [J].

Verbrugge, Frederik H. ;

Martens, Pieter ;

Dauw, Jeroen ;

Nijst, Petra ;

Meekers, Evelyne ;

Augusto Jr, Silvio Nunes ;

ter Maaten, Jozine M. ;

Damman, Kevin ;

Filippatos, Gerasimos ;

Lassus, Johan ;

Mebazaa, Alexandre ;

Ruschitzka, Frank ;

Dupont, Matthias ;

Mullens, Wilfried .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2023, 81 (20) :2013-2024

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