000070913 001__ 70913 000070913 005__ 20200217133050.0 000070913 0247_ $$2doi$$a10.1016/j.rce.2016.10.012 000070913 0248_ $$2sideral$$a98592 000070913 037__ $$aART-2017-98592 000070913 041__ $$aspa 000070913 100__ $$0(orcid)0000-0002-4769-7154$$aRubio Gracia, J.$$uUniversidad de Zaragoza 000070913 245__ $$aImplicación de la congestión venosa sistémica en la insuficiencia cardíaca 000070913 260__ $$c2017 000070913 5060_ $$aAccess copy available to the general public$$fUnrestricted 000070913 5203_ $$aSystemic venous congestion has gained significant importance in the interpretation of the pathophysiology of acute heart failure, especially in the development of renal function impairment during exacerbations. In this study, we review the concept, clinical characterisation and identification of venous congestion. We update current knowledge on its importance in the pathophysiology of acute heart failure and its involvement in the prognosis. We pay special attention to the relationship between abdominal congestion, the pulmonary interstitium as filtering membrane, inflammatory phenomena and renal function impairment in acute heart failure. Lastly, we review decongestion as a new therapeutic objective and the measures available for its assessment. 000070913 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/ 000070913 590__ $$a1.184$$b2017 000070913 591__ $$aMEDICINE, GENERAL & INTERNAL$$b92 / 154 = 0.597$$c2017$$dQ3$$eT2 000070913 592__ $$a0.123$$b2017 000070913 593__ $$aMedicine (miscellaneous)$$c2017$$dQ4 000070913 655_4 $$ainfo:eu-repo/semantics/review$$vinfo:eu-repo/semantics/submittedVersion 000070913 700__ $$0(orcid)0000-0002-2338-7637$$aSánchez Marteles, M.$$uUniversidad de Zaragoza 000070913 700__ $$0(orcid)0000-0003-2361-9941$$aPérez Calvo, J. I.$$uUniversidad de Zaragoza 000070913 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina 000070913 773__ $$g217, 3 (2017), 161-169$$pRev. clín. esp.$$tRevista clinica española$$x0014-2565 000070913 8564_ $$s330619$$uhttps://zaguan.unizar.es/record/70913/files/texto_completo.pdf$$yPreprint 000070913 8564_ $$s38116$$uhttps://zaguan.unizar.es/record/70913/files/texto_completo.jpg?subformat=icon$$xicon$$yPreprint 000070913 909CO $$ooai:zaguan.unizar.es:70913$$particulos$$pdriver 000070913 951__ $$a2020-02-17-12:42:27 000070913 980__ $$aARTICLE