Author: Nick Hatch, MD
- Quick review on typical treatments for acute CHF:
- Nitrates are a mainstay to reduce preload
- Furosemide has fallen out of favor in regards to urgency but still essential; it can also be utilized in those with poor renal function
- Before going into the weeds:
- Phlebotomy can be used to remove volume and may be helpful in certain clinical scenarios
- Trapping venous blood by using blood pressure cuffs on three of four extremities was a very early treatment of CHF
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Paterna S, Di Gaudio F, La Rocca V, Balistreri F, Greco M, Torres D, Lupo U, Rizzo G, di Pasquale P, Indelicato S, Cuttitta F, Butler J, Parrinello G. Hypertonic Saline in Conjunction with High-Dose Furosemide Improves Dose-Response Curves in Worsening Refractory Congestive Heart Failure. Adv Ther. 2015 Oct;32(10):971-82. doi: 10.1007/s12325-015-0254-9. Epub 2015 Oct 31. PubMed PMID: 26521190; PubMed Central PMCID: PMC4635178.
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Summary by Travis Barlock, MS4 | Edited by Erik Verzemnieks, MD