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Natriuretic Peptides and Need for Reliable Tool to Assess Pulmonary Congestion for Treatment Monitoring in Heart Failure.
Bhatia, Mandip S; Attri, Ritu; Sharda, Saurabh C; Swarup, Pulkit; Garg, Amit.
Afiliação
  • Bhatia MS; Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Attri R; Department of General Medicine, Dr.BR. Ambedkar State Institute of Medical Sciences, Mohali, Punjab, India.
  • Sharda SC; Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
  • Swarup P; Medical & Clinical Affairs, Terumo India Pvt. Ltd., India.
  • Garg A; Medical & Clinical Affairs, Terumo India Pvt. Ltd., India.
Article em En | MEDLINE | ID: mdl-38596554
ABSTRACT
Natriuretic peptides (NPs) play a significant role in the pathophysiology of heart failure (HF) and are considered reliable diagnostic and prognostic indicators of congestive HF. Pulmonary congestion in HF patients leads to clinical deterioration and hospitalizations. It remains an important aspect to address the management and treatment tailoring in HF patients. However, the role of NP-guided therapy remains debatable due to contrasting reports in the literature. Current guidelines do not recommend the use of NP-guided therapy in the treatment monitoring of HF. Therefore, there is an urgent need to identify reliable markers for treatment monitoring in congestive HF. For early detection of congestion, a technology-based approach to monitor pulmonary hemodynamics and absolute lung fluid measurement is found to be effective in guiding treatment. Remote dielectric sensing technology is one such non-invasive approach that measures pulmonary fluid levels in the lungs which results in reduced hospitalization and re-admission rate in HF patients. In this review, we summarized the role of natriuretic peptides and the need for a reliable tool to assess pulmonary congestion for treatment monitoring in HF.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Community Hosp Intern Med Perspect Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Índia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Community Hosp Intern Med Perspect Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Índia