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Sugihara S, Kinugasa Y, Takata T, et al. Ultrasound Assessment of Kidney Volume in Patients with Acute Decompensated Heart Failure: A Predictor of Diuretic Resistance. Yonago Acta Med. 2017;60(3):135-144
Sugihara, S., Kinugasa, Y., Takata, T., Sugihara, T., Hosho, K., Imai, C., Ito, H., Yamada, K., Kato, M., & Yamamoto, K. (2017). Ultrasound Assessment of Kidney Volume in Patients with Acute Decompensated Heart Failure: A Predictor of Diuretic Resistance. Yonago acta medica, 60(3), 135-144.
Sugihara, Shinobu, et al. "Ultrasound Assessment of Kidney Volume in Patients with Acute Decompensated Heart Failure: A Predictor of Diuretic Resistance." Yonago acta medica vol. 60,3 (2017): 135-144.
Sugihara S, Kinugasa Y, Takata T, Sugihara T, Hosho K, Imai C, Ito H, Yamada K, Kato M, Yamamoto K. Ultrasound Assessment of Kidney Volume in Patients with Acute Decompensated Heart Failure: A Predictor of Diuretic Resistance. Yonago Acta Med. 2017 Sep 15;60(3):135-144. eCollection 2017 Sep. PMID: 28959123; PMCID: PMC5611467.
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Yonago Acta Med. 2017 Sep 15;60(3):135-144. eCollection 2017 Sep.

Ultrasound Assessment of Kidney Volume in Patients with Acute Decompensated Heart Failure: A Predictor of Diuretic Resistance.

Yonago acta medica

Shinobu Sugihara, Yoshiharu Kinugasa, Tomoaki Takata, Takaaki Sugihara, Keiko Hosho, Chitose Imai, Hiromi Ito, Kensaku Yamada, Masahiko Kato, Kazuhiro Yamamoto

Affiliations

  1. Division of Cardiovascular Medicine, Department of Molecular Medicine and Therapeutics, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
  2. †Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
  3. ‡Division of Clinical Laboratory Medicine, Department of Pathophysiological and Therapeutic Science, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
  4. §Department of Clinical Radiology, Tottori University Hospital, Yonago 683-8504, Japan.

PMID: 28959123 PMCID: PMC5611467

Abstract

BACKGROUND: Diuretics are essential for treating acute decompensated heart failure (ADHF), but the response is inconsistent. This study aimed to clarify whether kidney volume as assessed by ultrasound (US) predicts diuretic resistance in patients with ADHF.

METHODS: We enrolled 29 patients with ADHF and 32 controls. Height-adjusted kidney volume was assessed by US. We divided patients into two groups based on the median value of total daily use of furosemide (intravenous dose plus 0.5 × oral dose of furosemide equivalents) during 3 days from admission.

RESULTS: Patients with ADHF had a significantly smaller left kidney volume than did control subjects (27.7 ± 10.0 vs. 32.8 ± 8.8 mL/m,

CONCLUSION: Kidney volume as assessed by US is a useful predictor of diuretic resistance in patients with ADHF.

Keywords: acute decompensated heart failure; diuretic resistance; kidney volume; ultrasound examination

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