Serum Bicarbonate in Acute Heart Failure: Relationship to Treatment Strategies and Clinical Outcomes
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- 作者：Lauren B. Cooper ; MD1 ; lauren.b.cooper@duke.edu" class="auth_mail" title="E-mail the corresponding author ; Robert J. Mentz ; MD1 ; Dianne Gallup ; MS1 ; Anuradha Lala ; MD2 ; 3 ; Adam D. DeVore ; MD1 ; Justin M. Vader ; MD ; MS4 ; Omar F. AbouEzzeddine ; MD5 ; Bradley A. Bart ; MD6 ; Kevin J. Anstrom ; PhD1 ; Adrian F. Hernandez ; MD ; MHS1 ; G. Michael Felker ; MD ; MHS1
- 关键词：Heart failure ; Edema ; Diuretics
- 刊名：Journal of Cardiac Failure
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：22
- 期：9
- 页码：738-742
- 全文大小：453 K
文摘
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Elevated serum bicarbonate is a common observation in acute heart failure (AHF) patients.
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In AHF, bicarbonate increased with diuretics but decreased with ultrafiltration.
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Bicarbonate change was not associated with clinical signs of decongestion.
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Adequate decongestion is a key goal in the treatment of patients with AHF.
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Modest increases in bicarbonate should not prompt decrease or cessation of diuresis.