4.6 Review

Causes and treatment of oedema in patients with heart failure

期刊

NATURE REVIEWS CARDIOLOGY
卷 10, 期 3, 页码 156-170

出版社

NATURE PUBLISHING GROUP
DOI: 10.1038/nrcardio.2012.191

关键词

-

资金

  1. National Institute for Health Research [NF-SI-0611-10227] Funding Source: researchfish

向作者/读者索取更多资源

Oedema is one of the fundamental features of heart failure, but the pathophysiology of oedema varies. Patients present along a spectrum ranging from acute pulmonary oedema to gross fluid retention and peripheral oedema (anasarca). In patients with pure pulmonary oedema, the problem is one of acute haemodynamic derangement; the patient does not have excess fluid, but pulmonary venous pressure rises such that the rate of fluid transudation into the interstitium of the lung exceeds the capacity of the pulmonary lymphatics to drain away the fluid. Conversely, in patients with peripheral oedema, the problem is one of fluid retention. Understanding the causes of oedema will enable straightforward, correct management of the condition. For patients with acute pulmonary oedema, vasodilatation is important to reduce cardiac filling pressures. For patients with fluid retention, removing the fluid, using either diuretics or mechanical means, is the most important consideration. Clark, A. L. & Cleland, J. G. F. Nat. Rev. Cardiol. 10, 156-170; published online 15 January 2013; doi: 10.1038/nrcardio.2012.191

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据