Solución salina hipertónica y dosis altas de diurético, ¿qué sabemos y cómo podemos usarlos en congestión persistente?

Juan D. Orozco Burbano; Clara I. Saldarriaga Giraldo; Diego A. Echeverri Marín

doi:10.47487/apcyccv.v2i4.159

Autores/as

Juan D. Orozco Burbano Departamento de Medicina Interna, Universidad del Cauca. Cauca, Colombia; Hospital Universitario San José. Popayán, Colombia. https://orcid.org/0000-0001-5449-3830
Clara I. Saldarriaga Giraldo Departamento de Cardiología, Universidad Pontificia Bolivariana. Medellín, Colombia; Clínica CardioVID. Medellín, Colombia; Universidad de Antioquia. Medellín, Colombia. https://orcid.org/0000-0002-5945-1127
Diego A. Echeverri Marín Departamento de Cardiología, Universidad Pontificia Bolivariana. Medellín, Colombia; Clínica CardioVID. Medellín, Colombia; Universidad de Antioquia. Medellín, Colombia. https://orcid.org/0000-0002-0551-5279

DOI:

https://doi.org/10.47487/apcyccv.v2i4.159

Palabras clave:

Insuficiencia cardíaca, Solución salina hipertónica, Furosemida

Resumen

La presencia de una descompensación en falla cardiaca continúa siendo una condición con altas tasas de hospitalización, impacto en el sistema de salud y calidad de vida de quienes la padecen. El eje principal del tratamiento en estos casos son los diuréticos; sin embargo, en ocasiones se puede presentar resistencia a este grupo farmacológico, lo que genera un inadecuado balance negativo de líquidos y persistencia de la congestión con desenlaces clínicos negativos. La solución salina hipertónica junto con dosis altas de diurético surge como una opción terapéutica para este grupo de pacientes, con probables beneficios fisiológicos, clínicos e impacto en tasas de hospitalización y reingreso por descompensación de falla cardiaca. A continuación, se realiza una revisión de los aspectos más relevantes y beneficios de esta combinación.

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