Ultrafiltration is highlighted as an effective tool for safely removing sodium and water to relieve congestion and improve hemodynamics in heart failure.
Supports ultrafiltration for HF decongestion; leaves open comparative efficacy versus diuretics in prospective trials.
Relief of congestive symptoms is a primary goal in treating heart failure. Ultrafiltration is a tool that can be used to safely remove sodium and water from whole blood at a controlled rate. Ultrafiltration decreases symptoms, relieves congestion, and improves hemodynamics, neurohormonal balance, and exercise capacity. This article describes the importance of congestion as a therapeutic target in heart failure and outlines the development of ultrafiltration as a treatment to address this important physiologic state.
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Thorsgard et al. (2009) studied this question.
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