Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression

Case report: Alternative approach for management of refractory volume overload in heart failure: usefulness of venous leg compression

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BackgroundManagement of patients with refractory congestion, is one of the most important challenges in the field of heart cartoon martian with big head failure (HF).Diuretic therapy remains the most widely used therapy to achieve euvolemia.However, some patients experience fluid overload despite the use of high-dose diuretics and new strategies to overcome diuretic resistance are needed.Case SummaryWe report an 85 years-old male patient admitted for decompensated HF with persistent tissue fluid overload (peripheral edema) for more than two weeks despite high dose of intravenous furosemide with the combination of other diuretics.

At this point, we performed anodized pearl price xbox leg venous compression using elastic bandages for three days.After 72 h, edema disappeared, and additional weight loss was achieved (1 kg/day).No side effects were observed and the patient was discharged home euvolemic.ConclusionVenous leg compression may be an alternative therapy in patients with persistent tissue fluid overload resistant to diuretics.