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Effects of intravenous furosemide plus small-volume hypertonic saline solutions on inflammatory, remodelling markers and epigenetics signatures of patients with congestive acute decompensated heart fa

10 hours ago
  • #hypertonic saline solution
  • #acute decompensated heart failure
  • #furosemide
  • The study compared treatment with intravenous furosemide plus small-volume hypertonic saline solution (HSS) versus furosemide alone in patients with acute decompensated heart failure (ADHF) due to reduced ejection fraction.
  • Patients receiving furosemide plus HSS showed higher absolute delta values for IL-6, hsTnT, NT-proBNP, and galectin-3 at post-treatment evaluation.
  • After saline load, the furosemide plus HSS group had significantly lower increases in serum concentrations of IL-6, hsTnT, sST2, galectin-3, and NT-proBNP compared to furosemide alone.
  • Expression of miR181b decreased more significantly in patients treated with furosemide plus HSS than in those treated with furosemide alone.
  • The findings suggest that furosemide plus HSS treatment reduces inflammatory and remodeling markers and modulates miRNA expression in ADHF patients.