Venous Excess Doppler ultrasound assessment and loop diuretic efficiency in acute cardiorenal syndrome

Eslam Abu-Naeima; Moataz Fatthy; M. Shalaby; Ghada Ayeldeen; Frederik H. Verbrugge; Philippe Rola; William Beaubien–Souligny; Ahmed Fayed

doi:10.1186/s12882-025-04060-z

March 27, 2025BMC NephrologyOpen Access

Venous Excess Doppler ultrasound assessment and loop diuretic efficiency in acute cardiorenal syndrome

View Full Paper

Ask AI

Bookmark

Share

Key Points

To determine the relationship between Doppler ultrasound measures of venous congestion and loop diuretic efficiency in acute cardiorenal syndrome.
Assessed systemic venous congestion at hospital admission using Venous Excess Ultrasound (VExUS) and Renal Venous Stasis Index (RVSI) grading.
Evaluated diuretic efficiency in patients presenting with acute decompensated heart failure and acute kidney injury.
High admission VExUS and RVSI grades were independently associated with reduced loop diuretic efficiency.
Venous congestion assessment provided practical utility for cardiorenal syndrome management and selecting initial diuretic dosing.

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

Demonstrates that severe venous congestion links to reduced loop diuretic efficiency in heart failure with kidney injury, suggesting ultrasound-guided initial dosing.

Abstract

High VExUS and RVSI grades at admission are independently associated with reduced diuretic efficiency in ADHF patients with AKI. The findings emphasize the clinical value of venous congestion assessment in cardiorenal syndrome management including the selection of an initial diuretic dose.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Abu-Naeima et al. (2025) studied this question.

synapsesocial.com/papers/69d891e752654bb436d1951a https://doi.org/10.1186/s12882-025-04060-z

View Full Paper

Ask AI

Bookmark

Share

Venous Excess Doppler ultrasound assessment and loop diuretic efficiency in acute cardiorenal syndrome

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Venous Excess Doppler ultrasound assessment and loop diuretic efficiency in acute cardiorenal syndrome

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Keep reading

Keep reading