Diagnosis and Management of Fluid Overload in Heart Failure and Cardio-Renal Syndrome: The “5B” Approach

Ronco, Claudio; Kaushik, Manish; Valle, Roberto; Aspromonte, Nadia; Peacock, W. Frank

doi:10.1016/j.semnephrol.2011.11.016

Cited by 72 publications

(49 citation statements)

References 66 publications

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“…Acquisition was performed by a trained nutritionist in a standardised procedure in accordance with the tetrapolar method 25. Patients with vectors below 75% of the tolerance ellipse for the Mexican reference population20 on the longitudinal axis of the RXc graph were classified as fluid overloaded, and normal patients were those with vectors within 50% or 75% of the tolerance ellipse 17…”

Section: Methodsmentioning

confidence: 99%

Mortality in adult patients with fluid overload evaluated by BIVA upon admission to the emergency department

Kammar-García

Pérez-Morales

Castillo-Martı́nez

et al. 2018

Postgraduate Medical Journal

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Section: Methodsmentioning

confidence: 99%

Mortality in adult patients with fluid overload evaluated by BIVA upon admission to the emergency department

Kammar-García

Pérez-Morales

Castillo-Martı́nez

et al. 2018

Postgraduate Medical Journal

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“…BNP and NT-proBNP are vasopeptide hormones secreted from the left ventricle in response to myocardial wall stress. Theoretically, overhydration increases parietal stress and secretion of BNP and NT-proBNP; therefore, BNP and NT-proBNP could be used as ideal markers for volume status evaluation [11]. However, their diagnostic value has been considered to be limited, since both renal dysfunction and associated cardiovascular diseases may affect BNP levels.…”

Section: Methods For Volume Assessmentmentioning

confidence: 99%

Routine Bioimpedance-Derived Volume Assessment for All Hypertensives: A New Paradigm

Covic

Voroneanu²,

Goldsmith³

2014

Am J Nephrol

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Hypertension is one of the most common worldwide diseases. Is linked with increased morbidity and mortality and amplified costs to society; in this context, preventing and treating hypertension is an imperative public health challenge. Unidentified, clinically unapparent volume expansion is an important cause for hypertension. Optimization of fluid status was associated with an improvement in BP control, a substantial regression of the left ventricular mass index, arterial stiffness and better survival rate in several cohorts. Clinical assessment of hydration status is an inaccurate clinical science. Bioimpedance provides a noninvasive and reliable, simple, reproducible technology for diagnosing subclinical fluid accumulation. Several small studies and a recent meta-analysis performed in patients with resistant hypertension reported an improved BP control in the impedance treated group compared with the group of patients treated as per clinical judgment alone. A combined approach (using both sphygmomanometers and bioimpedance) and individualized antihypertensive treatment in hypertensive's patients it seems probable to improve BP control and possibly end organ damage. i 2014 S. Karger AG, Basel

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“…W tym celu Ronco i wsp. [44] zaproponowali ostatnio schemat leczenia bazujący na monitorowaniu dobrze znanych parametrów nawodnienia: bilansu płynów, ciśnienia krwi i objętości wewnątrznaczyniowej, a także pomiarze nowych biomarkerów, takich jak NT-proBNP (N-końcowy fragment peptydu natriuretycznego typu B) czy KIM-1 (Kidney Injury Molecule) oraz bioimpedancji (tzw. "terapia 5B" od ang.…”

Section: Metody Farmakologiczneunclassified

Postępowanie w okresie okołooperacyjnym u chorych z ryzykiem wystąpienia ostrego uszkodzenia nerek, poddawanych operacjom kardiochirurgicznym

Krzych

Wybraniec²,

Chudek³

et al. 2013

Anaesthesiol Intensive Ther

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Acute kidney injury is one of the most frequent and clinically important of all postoperative complications in cardiac surgery. It is estimated that almost half of subjects suffer from a deterioration of kidney function after a cardio-pulmonary by-pass. Renal insufficiency impacts upon the outcome in terms of an increase in postoperative morbidity and mortality, and a decrease in quality of life. Recently, a modified and unified classification of cardio-renal syndrome has been devised, which takes into account bilateral association between the heart and the kidneys. Because acute decompensation in heart function leads to acute kidney damage, therefore cardiac surgery-associated acute kidney injury may be recognised as a type 1 cardio-renal syndrome from a pathophysiological point of view. This paper aims to review the current data on the diagnosis of acute kidney injury and preventive strategies that can be implemented in cardiac surgery perioperative care.

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Diagnosis and Management of Fluid Overload in Heart Failure and Cardio-Renal Syndrome: The “5B” Approach

Cited by 72 publications

References 66 publications

Mortality in adult patients with fluid overload evaluated by BIVA upon admission to the emergency department

Mortality in adult patients with fluid overload evaluated by BIVA upon admission to the emergency department

Routine Bioimpedance-Derived Volume Assessment for All Hypertensives: A New Paradigm

Postępowanie w okresie okołooperacyjnym u chorych z ryzykiem wystąpienia ostrego uszkodzenia nerek, poddawanych operacjom kardiochirurgicznym

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