RT Book, Section
A1 Emani, Sitaramesh
A1 Costanzo, Maria Rosa
A2 Baliga, R. R.
A2 Abraham, William T.
SR Print(0)
ID 1161018496
T1 Ultrafiltration in Heart Failure
T2 Color Atlas and Synopsis of Heart Failure
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749381
LK accesscardiology.mhmedical.com/content.aspx?aid=1161018496
RD 2024/04/24
AB A  61-year-old  man  with  a  history  of  heart  failure  with  reduced  ejection  fraction  (HFrEF)  from  underlying  coronary  artery  disease  (CAD)  presents  with  increasing  symptoms  of  congestion  and  volume  overload.  He  has  a  history  of  difficult-to-maintain  volume  status  requiring  high  doses  of  diuretics  as  an  outpatient.  Despite  increasing  his  baseline  diuretic  dosing  at  home,  his  symptoms  progress  and  he  is  admitted  for  additional  therapy.  In  the  setting  of  high  diuretic  requirements,  he  is  felt  to  have  diuretic  resistance.  Instead  of  initiating  therapy  with  extremely  high  doses  of  intravenous  loop  diuretics,  ultrafiltration  is  initiated  for  volume  management.  The  patient  undergoes  successful  ultrafiltration  over  the  next  few  days  with  return  to  his  baseline  volume  status.  He  is  subsequently  discharged  on  a  standard  diuretic  regimen  with  resolution  of  his  symptoms.