Cardiorenal Syndrome Clinical Trial
Official title:
The Effect in Renal Function on Patients With Type 1 Cardiorenal Syndrome Treated With Two Strategies of Furosemide. A Randomized Controled Trial
In double-blind clinical trial, determine renal recovery with two different furosemide strategies in patients with type 1 cardiorenal syndrome.
In a patient with type 1 cardiorenal syndrome, we tried to compare two Furosemide strategies:
both with a morning bolus, and randomized in two groups:
Group A: Furosemide 80 mg every 24 hrs (morning) intravenously every 24 hrs for 4 consecutive
days, additionally:
- Day 1 furosemide 100mg / day infused with 100cc of Hartmann solution
- Day 2 Furosemide 200mg / day infused with 100cc of Hartmann solution
- Day 3 Furosemide 300mg / day infused with 100cc of Hartmann solution
- Day 4 Furosemide 400mg / day infused with 100cc of Hartmann solution
Group B: Furosemide 80 mg every 24 hrs (morning) intravenously every 24 hrs for 4 consecutive
days, additionally:
- Day 1 furosemide 100mg / day infused with 100cc of Hartmann solution + Chlortalidone
50mg VO every 24 hours + Spironolactone 50mg VO every 24 hrs.
- Day 2 furosemide 100mg / day infused with 100cc of Hartmann solution + Chlortalidone
50mg VO every 24 hours + Spironolactone 50mg VO every 24 hrs.
- Day 3 furosemide 100mg / day infused with 100cc of Hartmann solution + Chlortalidone
50mg VO every 24 hours + Spironolactone 50mg VO every 24 hrs.
- Day 4 furosemide 100mg / day infused with 100cc of Hartmann solution + Chlortalidone
50mg VO every 24 hours + Spironolactone 50mg VO every 24 hrs.
ution + Chlortalidone 50mg VO every 24 hours + Spironolactone 25mg VO every 24 hrs.
With the primary objective of improving renal function measured by serum creatinine, as
secondary objectives the efficacy in vascular decongestion and electrolyte alterations.
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