Implicación de la congestión venosa sistémica en la insuficiencia cardíaca

Rubio Gracia, J. (Universidad de Zaragoza) ; Sánchez Marteles, M. (Universidad de Zaragoza) ; Pérez Calvo, J. I. (Universidad de Zaragoza)

Resumen: 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.

Idioma: Español

DOI: 10.1016/j.rce.2016.10.012

Año: 2017

Publicado en: Revista clinica española 217, 3 (2017), 161-169
ISSN: 0014-2565

Factor impacto JCR: 1.184 (2017)

Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 92 / 154 = 0.597 (2017) - Q3 - T2

Factor impacto SCIMAGO: 0.123 - Medicine (miscellaneous) (Q4)

Tipo y forma: Review (PrePrint)

Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)