diuretic resistance
Last edited 03/2022 and last reviewed 03/2022
Diuretic resistance (DR) is defined as a failure to achieve therapeutically desired congestion relief despite using an appropriate diuretic dose
In heart failure patients, the prevalence of diuretic resistance (DR) is estimated as 20%-30% (1)
- causes of diuretic resistance include poor adherence to drug therapy or dietary sodium restriction, pharmacokinetic issues, and compensatory increases in sodium reabsorption in nephron sites that are not blocked by the diuretic
Reference:
- Shams E, Bonnice S, Mayrovitz H N (January 18, 2022) Diuretic Resistance Associated With Heart Failure. Cureus 14(1): e21369. doi:10.7759/cureus.21369
- Hoorn EJ, Ellison DH. Diuretic Resistance. Am J Kidney Dis. 2017 Jan;69(1):136-142. doi: 10.1053/j.ajkd.2016.08.027. Epub 2016 Nov 1. PMID: 27814935; PMCID: PMC5182087.