70913 20200217133050.0 doi 10.1016/j.rce.2016.10.012 sideral 98592 ART-2017-98592 spa (orcid)0000-0002-4769-7154 Rubio Gracia, J. Universidad de Zaragoza Implicación de la congestión venosa sistémica en la insuficiencia cardíaca 2017 Access copy available to the general public Unrestricted Systemic 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. info:eu-repo/semantics/openAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 1.184 2017 MEDICINE, GENERAL & INTERNAL 92 / 154 = 0.597 2017 Q3 T2 0.123 2017 Medicine (miscellaneous) 2017 Q4 info:eu-repo/semantics/review info:eu-repo/semantics/submittedVersion (orcid)0000-0002-2338-7637 Sánchez Marteles, M. Universidad de Zaragoza (orcid)0000-0003-2361-9941 Pérez Calvo, J. I. Universidad de Zaragoza 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 217, 3 (2017), 161-169 Rev. clín. esp. Revista clinica española 0014-2565 330619 http://zaguan.unizar.es/record/70913/files/texto_completo.pdf Preprint 38116 http://zaguan.unizar.es/record/70913/files/texto_completo.jpg?subformat=icon icon Preprint oai:zaguan.unizar.es:70913 articulos driver 2020-02-17-12:42:27 ARTICLE