The management of refractory edema in heart failure.

Abstract

Article1 February 1955THE MANAGEMENT OF REFRACTORY EDEMA IN HEART FAILUREALBERT L. RUBIN, HARTWELL G. THOMPSON JR., WARREN S. BRAVEMAN, E. HUGH LUCKEY, F.A.C.P.ALBERT L. RUBINSearch for more papers by this author, HARTWELL G. THOMPSON JR.Search for more papers by this author, WARREN S. BRAVEMANSearch for more papers by this author, E. HUGH LUCKEY, F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-2-358 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThis report is concerned with edema which is refractory to usual methods of treatment. Most patients with heart failure eventually develop edema. Often this is an early manifestation. Many factors contribute to the retention of salts and water which produce an excess of extracellular fluid. In some respects the edema of heart failure may be considered only a symptom, indirectly reflecting the derangement of hemodynamics which characterize this state. From evidence which has been accumulated from many sources, it is now generally accepted that under certain circumstances the expansion of extracellular fluid, per se, may contribute to the failure of...Bibliography1. Batterman RC: The status of mercurial diuretics for the treatment of congestive heart failure, Am. Heart J. 42: 311, 1951. CrossrefMedlineGoogle Scholar2. HanlonGilroyRomaineDeitrickLuckey LWFJMJEEH, to be published. Google Scholar3. SchwartzWallace WBWM: Electrolyte equilibrium during mercurial diuresis, J. Clin. Investigation 30: 1089, 1951. CrossrefMedlineGoogle Scholar4. AxelrodCappsPitts DRJNRF: Potentiation of diuretic action of Salyrgan by ammonium chloride, Federation Proc. 9: 6, 1950. Google Scholar5. FriedbergHalpern CKM: Effect of carbonic anhydrase inhibitor 6063 on renal excretion of fluid and electrolytes in patients with congestive heart failure, Federation Proc. 11: 49, 1952. Google Scholar6. Belsky H: Use of a new oral diuretic, Diamox, in congestive heart failure, New England J. Med. 249: 140, 1953. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Presented as a Morning Lecture at the Thirty-fifth Annual Session of the American College of Physicians, Chicago, Illinois, April 7, 1954.From the Second (Cornell) Medical Division, Bellevue Hospital Center, and The Department of Medicine, Cornell University Medical College.This work was supported in part by grants from the James Foundation of New York, Inc., and the United States Public Health Service. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byComparison of Changes in Plasma Volume and Renal Function between Acetazolamide and Conventional Diuretics: Understanding the Mechanical Differences according to the “Chloride Theory”Acetazolamide as a potent chloride-regaining diuretic: short- and long-term effects, and its pharmacologic role under the ‘chloride theory’ for heart failure pathophysiologyBiochemical Determinants of Changes in Plasma Volume After Decongestion Therapy for Worsening Heart FailureClinical and hemodynamic results of peritoneal dialysis for severe cardiac failureRefractory vs. intractable congestive heart failureTreatment of edema by the combined administration of chemically different diuretic agentsThe treatment of refractory retention of fluid with oral L-arginine monohydrochloride and merallurideSPIRONOLACTONE USED WITH MERCAPTOMERIN IN THE TREATMENT OF CONGESTIVE CARDIAC FAILURE�ber Hyponatri�mie-Syndrome und ihre Analyse durch Elektrolytbestimmung in ErythrocytenThe management of resistant fluid-retention states with intravenous L-arginine monohydrochloride in combination with mercurial diuretics4 Diuretic DrugsThe low salt syndromeManagement of Refractory Fluid Retention with a Combination of L-Arginine Monohydrochloride and MercurialsSt�rungen des Wasser- und Elektrolythaushalts bei diuretischer TherapieThe Use of L-Lysine Monohydrochloride in Combination with Mercurial Diuretics in the Treatment of Refractory Fluid RetentionTherapie der HerzinsuffizienzManaging Unmanageable EdemaDiuretische und saluretische Wirkungen von Chlorothiazid unter normalen und pathologischen BedingungenCardiotonics and diuretics in human heart failureThe pharmacologic limitations of diureticsAllgemeine Nebenwirkungen der diuretischen TherapieRefractory edema treated with calcium chloride in combination with mercurial diureticsElectrocardiographic Changes during Hemodialysis with the Artificial KidneyIndications for the Use of Oral and Parenteral DiureticsACTH Treatment for Novurit-Resistant Cardiac EdemaNiereClinical Experiences with a New Carbonic Anhydrase Inhibitor as an Oral DiureticDiamox (acetazoleamide) as an oral diuretic in ambulatory cardiac patientsThe Treatment of Congestive Heart Failure: With Observations on the Use of Steroid HormonesThe Low Salt Syndromes in Congestive Heart FailureTreatment of the Low-Salt Syndrome in Congestive Heart Failure by the Controlled Use of Mercurial DiureticsThe Significance and Treatment of Acidosis and Alkalosis in Surgical Patients 1 February 1955Volume 42, Issue 2Page: 358-368KeywordsEdemaHeart failureHemodynamicsHospital medicineMedical servicesPatientsSalts ePublished: 1 December 2008 Issue Published: 1 February 1955 PDF downloadLoading ...