Congestion in acute heart failure syndromes: Importance of early recognition and treatment

Leonardo De Luca*, William T. Abraham, Gregg C. Fonarow, Mihai Gheorghiade

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations


The vast majority of acute heart failure syndrome (AHFS) hospitalizations are related to clinical congestion, rather than to a low cardiac output state. Patients develop hemodynamic congestion (high left ventricular filling pressure) several days to weeks before the onset of clinical symptoms and signs. Congestion is an important predictor of both mortality and morbidity in patients with AHFS. As a result, congestion is an essential evaluative and therapeutic target in AHFS patients. It is plausible that early identification of hemodynamic congestion, before the clinical manifestations are present, could reduce the need for hospital admission and readmission.

Original languageEnglish (US)
Pages (from-to)69-74
Number of pages6
JournalReviews in Cardiovascular Medicine
Issue number2
StatePublished - Mar 1 2006


  • Acute heart failure syndromes
  • Diuretics
  • Left ventricular filling pressure
  • Pulmonary capillary wedge pressure
  • Pulmonary congestion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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