Diuretic Resistance Management in a Patient with Type I Cardiorenal Syndrome: A Case Report

Authors

  • Mochamad Yusuf
  • Hendri Susilo

DOI:

https://doi.org/10.37506/ijfmt.v15i3.15863

Keywords:

: diuretic resistance, acute heart failure, type I cardiorenal syndrome, loop diuretics

Abstract

Diuretic resistance is commonly found as a problem in acute heart failure (AHF). A further understanding of
diuretic response could lead to improved personal approaches for treating patients with AHF. A 48 yo male
suffered shortness of breath with a history of hypertension and DM. The patient was diagnosed as Ischemic
Cardiomyopathy with Type I Cardiorenal Syndrome. The patient was given a 40 mg continued by 80 mg
intravenous furosemide and low dose dobutamine pump. As the patient had zero urine production, a 160 mg
intravenous furosemide followed by 15 mg/hr. After high-dose furosemide was given, the urine production
was increased and the patient showed improved signs and symptoms. Deteriorating kidney function and bad
response to diuretics is a principal clinical problem in AHF. Some treatment strategies include a combination
of diuretic therapy, an increased dose of intravenous loop diuretics, and ultrafiltration. However, this patient
gave good respond only to high doses of loop diuretics.

Author Biographies

Mochamad Yusuf

Clinical instructor, Department of Cardiology and Vascular Medicine,Faculty of Medicine,
Universitas Airlangga, Jl. Mayjen Prof. Dr.Moestopo No.47, Surabaya 60132, Indonesia; Department of
Cardiology and Vascular Medicine, Universitas Airlangga Hospital, Jl. Dharmahusada Permai, Surabaya 60115,

Hendri Susilo

Junior researcher, Department of Cardiology and Vascular Medicine,Faculty of Medicine,
Universitas Airlangga, Jl. Mayjen Prof. Dr.Moestopo No.47, Surabaya 60132, Indonesia; Department of
Cardiology and Vascular Medicine, Universitas Airlangga Hospital, Jl. Dharmahusada Permai, Surabaya 60115,
Indonesia

Published

2021-05-17

How to Cite

Mochamad Yusuf, & Hendri Susilo. (2021). Diuretic Resistance Management in a Patient with Type I Cardiorenal Syndrome: A Case Report. Indian Journal of Forensic Medicine & Toxicology, 15(3), 3629-3635. https://doi.org/10.37506/ijfmt.v15i3.15863