Mechanical strategies to improve fluid over load in patients with cardiorenal syndrome
Treatment of acute deterioration in cardiac function traditionally involved diuretics, inotropes, and vasodilators. Usage of diuretics to reduce volume overload and pulmonary edema is often slow and many times accompanied by activation of RAAS and sympathetic nervous system with resultant increase i...
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| Format: | Article |
| Language: | English |
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KIMS Foundation and Research Center
2013-03-01
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| Series: | Journal of Medical and Scientific Research |
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| Online Access: | http://jmsronline.com/article.aspx?ID=Mechanical-strategies-to-improve-fluid-over-load-cardiorenal-syndrome |
| Summary: | Treatment of acute deterioration in cardiac function traditionally involved diuretics, inotropes, and vasodilators. Usage of diuretics to reduce volume overload and pulmonary edema is often slow and many times accompanied by activation of RAAS and sympathetic nervous system with resultant increase in serum creatinine and heart rate. Other therapies that have been used in this setting include natriuretics and aquareticsalthough with limited success. To address this problem, mechanical removal of fluid (ultrafiltration/ aquapheresis) in volume overloaded patients is increasingly being done with lesser incidence of activation of RAAS and SNS. Both traditional dialysis machines and dedicated machines for isolated ultrafiltration have been employed. |
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| ISSN: | 2321-1326 2394-112X |