Raco Joseph, Peterson Brandon, Muallem Samer
Department of Internal Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Department of Cardiology, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA.
Cardiol Res. 2023 Feb;14(1):2-11. doi: 10.14740/cr1434. Epub 2023 Feb 25.
Assessment of volume status in hospitalized patients with heart failure is a critically important diagnostic skill that clinicians utilize frequently. However, accurate assessment is challenging and there is often significant inter-provider disagreement. This review serves as an appraisal of current methods of volume assessment amongst different categories of evaluation including patient history, physical exam, laboratory analysis, imaging, and invasive procedures. Within each category, this review highlights methods that are particularly sensitive or specific, or those that carry impactful positive or negative likelihood ratios. Utilization of the information that this review provides will allow clinicians to determine volume status of hospitalized heart failure patients more accurately and more precisely in order to provide appropriate and effective therapies.
评估住院心力衰竭患者的容量状态是临床医生经常使用的一项极其重要的诊断技能。然而，准确评估具有挑战性，且不同医疗人员之间常常存在显著分歧。本综述旨在评估当前在不同评估类别（包括患者病史、体格检查、实验室分析、影像学和侵入性操作）中进行容量评估的方法。在每个类别中，本综述重点介绍了特别敏感或特异的方法，或那些具有显著阳性或阴性似然比的方法。利用本综述提供的信息将使临床医生能够更准确、更精确地确定住院心力衰竭患者的容量状态，以便提供适当有效的治疗。
