2026-04-25T10:17:53Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/193262024-09-27T08:24:04Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605
Repisalud
author
Collado Macián, Carlos
author
Pujol Pocull, David
author
Dominguez, Fernando
author
López-Azor, Juan Carlos
author
Garcia-Pavia, Pablo
author
Nuñez, Julio
author
Cobo Marcos, Marta
2024-05-09T12:28:40Z
2024-05-09T12:28:40Z
2023
Front Cardiovasc Med. 2023 Sep 29:10:1230980.
2297-055X
http://hdl.handle.net/20.500.12105/19326
37840957
10.3389/fcvm.2023.1230980
Frontiers in cardiovascular medicine
BACKGROUND
Management of patients with refractory congestion, is one of the most important challenges in the field of heart failure (HF). Diuretic therapy remains the most widely used therapy to achieve euvolemia. However, some patients experience fluid overload despite the use of high-dose diuretics and new strategies to overcome diuretic resistance are needed.
CASE SUMMARY
We report an 85 years-old male patient admitted for decompensated HF with persistent tissue fluid overload (peripheral edema) for more than two weeks despite high dose of intravenous furosemide with the combination of other diuretics. At this point, we performed leg venous compression using elastic bandages for three days. After 72 h, edema disappeared, and additional weight loss was achieved (1 kg/day). No side effects were observed and the patient was discharged home euvolemic.
CONCLUSION
Venous leg compression may be an alternative therapy in patients with persistent tissue fluid overload resistant to diuretics.
eng
Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression.
journal article
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Case report_Alternative approach_Front Cardiovasc Med_2023.pdf
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Case report_Alternative approach_Front Cardiovasc Med_2023.pdf.txt