The Effect of Decongestion on Intrarenal Venous Flow Patterns in Patients With Acute Heart Failure

Jozine M Ter Maaten; Jeroen Dauw; Pieter Martens; Frauke Somers; Kevin Damman; Christoph Metalidis; Petra Nijst; Matthias Dupont; Wilfried Mullens

doi:10.1016/j.cardfail.2020.09.003

The Effect of Decongestion on Intrarenal Venous Flow Patterns in Patients With Acute Heart Failure

Jozine M Ter Maaten, Jeroen Dauw, Pieter Martens, Frauke Somers, Kevin Damman, Christoph Metalidis, Petra Nijst, Matthias Dupont, Wilfried Mullens^*

^*Corresponding author for this work

Cardiovascular Centre (CVC)

Research output: Contribution to journal › Editorial › Academic › peer-review

34 Citations (Scopus)

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Abstract

BACKGROUND: Discontinuous intrarenal venous flow patterns, as assessed by renal Doppler ultrasound examination, are associated with changes in hemodynamics such as volume expansion and poorer diuretic response in patients with heart failure (HF). We aimed to study intrarenal venous and arterial flow patterns after decongestive treatment in patients with acute HF.

METHODS AND RESULTS: Fifteen patients with acute HF were enrolled. Intrarenal venous and arterial flow patterns were assessed at baseline, 1 hour after administration of loop diuretics, at day 2 and day 3. Among patients hospitalized for acute HF, 13 (87%) had a discontinuous venous flow pattern at admission. After decongestive treatment, a significant improvement of the venous impedance index (P = .021) and venous discontinuity index (P = .004) was observed at day 3 compared with baseline. There was no effect on the intrarenal arterial flow patterns.

CONCLUSIONS: In patients who exhibit discontinuous renal venous flow patterns hospitalized for decongestive treatment owing to acute HF led to a normalization of intrarenal venous flow to a continuous pattern.

Original language	English
Pages (from-to)	29-34
Number of pages	6
Journal	Journal of Cardiac Failure
Volume	27
Issue number	1
Early online date	11-Sept-2020
DOIs	https://doi.org/10.1016/j.cardfail.2020.09.003
Publication status	Published - Jan-2021

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The Effect of Decongestion on Intrarenal Venous Flow Patterns in Patients With Acute Heart FailureFinal publisher's version, 267 KBLicence: Taverne

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@article{2ccf0fb0217448969604c2ed6154601e,

title = "The Effect of Decongestion on Intrarenal Venous Flow Patterns in Patients With Acute Heart Failure",

abstract = "BACKGROUND: Discontinuous intrarenal venous flow patterns, as assessed by renal Doppler ultrasound examination, are associated with changes in hemodynamics such as volume expansion and poorer diuretic response in patients with heart failure (HF). We aimed to study intrarenal venous and arterial flow patterns after decongestive treatment in patients with acute HF.METHODS AND RESULTS: Fifteen patients with acute HF were enrolled. Intrarenal venous and arterial flow patterns were assessed at baseline, 1 hour after administration of loop diuretics, at day 2 and day 3. Among patients hospitalized for acute HF, 13 (87%) had a discontinuous venous flow pattern at admission. After decongestive treatment, a significant improvement of the venous impedance index (P = .021) and venous discontinuity index (P = .004) was observed at day 3 compared with baseline. There was no effect on the intrarenal arterial flow patterns.CONCLUSIONS: In patients who exhibit discontinuous renal venous flow patterns hospitalized for decongestive treatment owing to acute HF led to a normalization of intrarenal venous flow to a continuous pattern.",

author = "{Ter Maaten}, {Jozine M} and Jeroen Dauw and Pieter Martens and Frauke Somers and Kevin Damman and Christoph Metalidis and Petra Nijst and Matthias Dupont and Wilfried Mullens",

note = "Copyright {\textcopyright} 2020. Published by Elsevier Inc.",

year = "2021",

month = jan,

doi = "10.1016/j.cardfail.2020.09.003",

language = "English",

volume = "27",

pages = "29--34",

journal = "Journal of Cardiac Failure",

issn = "1071-9164",

publisher = "Churchill Livingstone",

number = "1",

}

TY - JOUR

T1 - The Effect of Decongestion on Intrarenal Venous Flow Patterns in Patients With Acute Heart Failure

AU - Ter Maaten, Jozine M

AU - Dauw, Jeroen

AU - Martens, Pieter

AU - Somers, Frauke

AU - Damman, Kevin

AU - Metalidis, Christoph

AU - Nijst, Petra

AU - Dupont, Matthias

AU - Mullens, Wilfried

PY - 2021/1

Y1 - 2021/1

N2 - BACKGROUND: Discontinuous intrarenal venous flow patterns, as assessed by renal Doppler ultrasound examination, are associated with changes in hemodynamics such as volume expansion and poorer diuretic response in patients with heart failure (HF). We aimed to study intrarenal venous and arterial flow patterns after decongestive treatment in patients with acute HF.METHODS AND RESULTS: Fifteen patients with acute HF were enrolled. Intrarenal venous and arterial flow patterns were assessed at baseline, 1 hour after administration of loop diuretics, at day 2 and day 3. Among patients hospitalized for acute HF, 13 (87%) had a discontinuous venous flow pattern at admission. After decongestive treatment, a significant improvement of the venous impedance index (P = .021) and venous discontinuity index (P = .004) was observed at day 3 compared with baseline. There was no effect on the intrarenal arterial flow patterns.CONCLUSIONS: In patients who exhibit discontinuous renal venous flow patterns hospitalized for decongestive treatment owing to acute HF led to a normalization of intrarenal venous flow to a continuous pattern.

AB - BACKGROUND: Discontinuous intrarenal venous flow patterns, as assessed by renal Doppler ultrasound examination, are associated with changes in hemodynamics such as volume expansion and poorer diuretic response in patients with heart failure (HF). We aimed to study intrarenal venous and arterial flow patterns after decongestive treatment in patients with acute HF.METHODS AND RESULTS: Fifteen patients with acute HF were enrolled. Intrarenal venous and arterial flow patterns were assessed at baseline, 1 hour after administration of loop diuretics, at day 2 and day 3. Among patients hospitalized for acute HF, 13 (87%) had a discontinuous venous flow pattern at admission. After decongestive treatment, a significant improvement of the venous impedance index (P = .021) and venous discontinuity index (P = .004) was observed at day 3 compared with baseline. There was no effect on the intrarenal arterial flow patterns.CONCLUSIONS: In patients who exhibit discontinuous renal venous flow patterns hospitalized for decongestive treatment owing to acute HF led to a normalization of intrarenal venous flow to a continuous pattern.

U2 - 10.1016/j.cardfail.2020.09.003

DO - 10.1016/j.cardfail.2020.09.003

M3 - Editorial

C2 - 32927066

SN - 1071-9164

VL - 27

SP - 29

EP - 34

JO - Journal of Cardiac Failure

JF - Journal of Cardiac Failure

IS - 1

ER -

The Effect of Decongestion on Intrarenal Venous Flow Patterns in Patients With Acute Heart Failure

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