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Tolerability and efficacy of high-dose furosemide and small-volume hypertonic saline solution in refractory congestive heart failure.
Paterna, S; Parrinello, G; Amato, P; Dominguez, L; Pinto, A; Maniscalchi, T; Cardinale, A; Licata, A; Amato, V; Licata, G; Di Pasquale, P.
Afiliação
  • Paterna S; Department of Internal Medicine, University of Palermo, Italy.
Adv Ther ; 16(5): 219-28, 1999.
Article em En | MEDLINE | ID: mdl-10915397
Thirty patients aged 65-85 years, with refractory New York Heart Association (NYHA) class IV congestive heart failure (CHF) were treated with an intravenous infusion of furosemide (250-2000 mg/d) and small-volume hypertonic saline solution (150 mL of 1.4-4.6% NaCl) twice a day for 6 to 12 days. A daily fluid oral intake of 1000 mL and previous cardiac therapy were maintained. Clinical signs and symptoms of CHF, such as dyspnea, edema and weakness, improved, as did severity of illness as defined by NYHA class. The infusion was well tolerated. After a 12-month follow-up, 24 patients (80%) were alive and in the NYHA class assigned on discharge from the hospital. This therapeutic combination is effective and well tolerated and should represent an innovative approach to the management of refractory CHF.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Solução Salina Hipertônica / Diuréticos / Furosemida / Insuficiência Cardíaca Limite: Aged / Aged80 / Female / Humans / Male País/Região como assunto: Europa Idioma: En Ano de publicação: 1999 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Solução Salina Hipertônica / Diuréticos / Furosemida / Insuficiência Cardíaca Limite: Aged / Aged80 / Female / Humans / Male País/Região como assunto: Europa Idioma: En Ano de publicação: 1999 Tipo de documento: Article