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Diuretic resistance in decompensated chronic heart failure: trying to get out of the "loop".

作者信息

Marra Alberto Maria, Proietti Marco

机构信息

IRCCS SDN, Via Gianturco 113, 80142, Naples, Italy.

Laboratory of Quality Assessment of Geriatric Therapies and Services, Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Giuseppe La Masa 19, 20156, Milan, Italy.

出版信息

Intern Emerg Med. 2019 Jun;14(4):497-498. doi: 10.1007/s11739-019-02083-7. Epub 2019 May 2.

DOI:10.1007/s11739-019-02083-7
PMID:31049784
Abstract
摘要

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1
Diuretic resistance in decompensated chronic heart failure: trying to get out of the "loop".
Intern Emerg Med. 2019 Jun;14(4):497-498. doi: 10.1007/s11739-019-02083-7. Epub 2019 May 2.
2
Rationale and Design of the "Safety and Efficacy of the Combination of Loop with Thiazide-type Diuretics in Patients with Decompensated Heart Failure (CLOROTIC) Trial:" A Double-Blind, Randomized, Placebo-Controlled Study to Determine the Effect of Combined Diuretic Therapy (Loop Diuretics With Thiazide-Type Diuretics) Among Patients With Decompensated Heart Failure.袢利尿剂与噻嗪类利尿剂联合应用于失代偿性心力衰竭患者的安全性和有效性（CLOROTIC）试验的原理与设计：一项双盲、随机、安慰剂对照研究，以确定联合利尿剂治疗（袢利尿剂与噻嗪类利尿剂联合）对失代偿性心力衰竭患者的疗效。
J Card Fail. 2016 Jul;22(7):529-36. doi: 10.1016/j.cardfail.2015.11.003. Epub 2015 Nov 11.
3
Decrease in loop diuretic treatment from 2005 to 2014 in Swedish real-life patients with chronic heart failure.2005年至2014年瑞典慢性心力衰竭实际患者中襻利尿剂治疗的减少情况。
Eur J Clin Pharmacol. 2019 Feb;75(2):247-254. doi: 10.1007/s00228-018-2574-6. Epub 2018 Oct 15.
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In chronic heart failure with marked fluid retention, the i.v. high doses of loop diuretic are a predictor of aggravated renal dysfunction, especially in the set of heart failure with normal or only mildly impaired left ventricular systolic function.在伴有明显液体潴留的慢性心力衰竭中，静脉注射大剂量袢利尿剂是肾功能恶化的一个预测指标，尤其是在左心室收缩功能正常或仅轻度受损的心力衰竭患者中。
Minerva Cardioangiol. 2011 Dec;59(6):543-54. Epub 2011 Feb 18.
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Loop diuretic resistance in heart failure: resistance etiology-based strategies to restoring diuretic efficacy.心力衰竭中的襻利尿剂抵抗：基于抵抗病因恢复利尿剂疗效的策略
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[Value of aldosterone receptor blockade in diuretic therapy of patients with chronic heart failure].[醛固酮受体阻断在慢性心力衰竭患者利尿治疗中的价值]
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Efficacy and Safety of Intravenous Chlorothiazide versus Oral Metolazone in Patients with Acute Decompensated Heart Failure and Loop Diuretic Resistance.静脉注射氯噻嗪与口服美托拉宗治疗急性失代偿性心力衰竭且对袢利尿剂抵抗患者的疗效与安全性比较
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Discharge Diuretic Dose and 30-Day Readmission Rate in Acute Decompensated Heart Failure.急性失代偿性心力衰竭患者的出院利尿剂剂量与30天再入院率
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本文引用的文献

1
Imaging the right heart pulmonary circulation unit: Insights from advanced ultrasound techniques.右心-肺循环单元成像：先进超声技术的见解
Echocardiography. 2017 Aug;34(8):1216-1231. doi: 10.1111/echo.13594. Epub 2017 Jun 29.
2
2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.2016欧洲心脏病学会急性和慢性心力衰竭诊断与治疗指南：欧洲心脏病学会（ESC）急性和慢性心力衰竭诊断与治疗工作组编写，欧洲心脏病学会心力衰竭协会（HFA）提供特别贡献。
Eur Heart J. 2016 Jul 14;37(27):2129-2200. doi: 10.1093/eurheartj/ehw128. Epub 2016 May 20.
3
Influence of previous heart failure hospitalization on cardiovascular events in patients with reduced and preserved ejection fraction.既往心力衰竭住院对射血分数降低和保留患者心血管事件的影响。
Circ Heart Fail. 2014 Jul;7(4):590-5. doi: 10.1161/CIRCHEARTFAILURE.113.001281. Epub 2014 May 29.
4
Heart failure.心力衰竭。
JACC Heart Fail. 2013 Feb;1(1):1-20. doi: 10.1016/j.jchf.2012.10.002. Epub 2013 Feb 4.
5
Diuretic resistance predicts mortality in patients with advanced heart failure.利尿剂抵抗可预测晚期心力衰竭患者的死亡率。
Am Heart J. 2002 Jul;144(1):31-8. doi: 10.1067/mhj.2002.123144.
6
Sequential nephron blockade breaks resistance to diuretics in edematous states.序贯性肾单位阻断可打破水肿状态下对利尿剂的抵抗。
J Cardiovasc Pharmacol. 1997 Mar;29(3):367-72. doi: 10.1097/00005344-199703000-00010.