Why the study?
Are higher plasma renin levels associated with lower diuretic response in ambulatory patients with heart failure?
Are higher plasma renin levels associated with lower diuretic response in ambulatory patients with heart failure?
Higher plasma total and active renin levels are associated with lower diuretic response, suggesting RAAS activation may drive diuretic resistance in heart failure.
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May signal diuretic resistance risk in ambulatory HF; hypothesis-generating and requires prospective validation before any practice implications.
Among multiple measures of RAAS activation, higher plasma total and active renin levels were consistently associated with lower diuretic response. These findings highlight the potential drivers of diuretic resistance and underscore the need for high-quality trials of decongestive therapy enhanced by RAAS blockade.
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Amatruda et al. (2022) studied this question.
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