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

Authors

Juan D. Orozco Burbano Departamento de Medicina Interna, Universidad del Cauca. Cauca, Colombia; Hospital Universitario San Jose. Popayan, Colombia. https://orcid.org/0000-0001-5449-3830
Clara I. Saldarriaga Giraldo Departamento de Cardiologia, Universidad Pontificia Bolivariana. Medellin, Colombia; Clinica CardioVID. Medellin, Colombia; Universidad de Antioquia. Medellin, Colombia. https://orcid.org/0000-0002-5945-1127
Diego A. Echeverri Marin Departamento de Cardiologia, Universidad Pontificia Bolivariana. Medellin, Colombia; Clinica CardioVID. Medellin, Colombia; Universidad de Antioquia. Medellin, Colombia. https://orcid.org/0000-0002-0551-5279

DOI:

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

Keywords:

Heart failure, Saline solution, hypertonic, Furosemide

Abstract

The presence of decompensated heart failure continues to be a condition with high rates of hospitalization, impact on the health system, and quality of life for those who suffer it. The mainstay of treatment in these cases are diuretics. However, the resistance to this pharmacological group may occasionally occur, generating an inadequate negative fluid balance and persistence of congestion with negative clinical outcomes. Hypertonic saline solution with high doses of diuretic emerges as a therapeutic option for this group of patients with probable physiological, and clinical benefits on hospitalization and re-admission rates due to heart failure decompensation. A review of the most relevant aspects and benefits of this combination is discussed in this article.

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