Avtor/Urednik		Ružič-Medvešček, Nadja
Naslov		Zdravljenje kroničnega srčnega popuščanja z diuretiki
Prevedeni naslov		The treatment of chronic heart failure with diuretics
Tip		članek
Vir		In: Križman I, editor. Interna medicina 2005: novosti in aktualnosti. Zbornik predavanj 2. kongres Združenja internistov SZD; 2005 okt 21-22; Ljubljana. Ljubljana: Slovensko zdravniško društvo, Združenje internistov,
Leto izdaje		2005
Obseg		str. 269-74
Jezik		slo
Abstrakt		Diuretics, such as furosemide, can be lifesaving for the patients with acute pulmonary edema. A long-term use can prove effective in achieving euvolemia and better quality of life in patients with sodium and fluid retention. However, diuretics can do harm. The most important adverse effects are acute and chronic RAAS activation, electrolyte disturbances associated with an increase in malignant ventricular arrhythmias and the risk of death, glucose intolerance, hyperuricemia, and the disturbed metabolism of calcium. Diuretics are required only in patients with clinical evidence of sodium and water retention. When left ventricular systolic dysfunetion is asymptomatic, diuretics can be harmful. Appropriate diuretic therapy is a key factor for safe utilization of the other obligatory background therapy of CHF.
Deskriptorji		HEART FAILURE, CONGESTIVE DIURETICS