Discover and read the best of Twitter Threads about #VenousEXcessUScore
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#POCUS #VenousEXcessUScore guided diuresis in ❤️renal sx. Pt w T2DM and CKDG4A3 with HFpEF. After multi-agent diuresis (targeted to normalize venous flow patterns) pt lost 14 kg and returned to basal kidney function. ¿Should we pursue "decongestion" goals in these pts? (1/13) 
It's interesting that the recent statement from @American_Heart spends a great deal discussing Bioelectrical impedance Vector Analysis (BIVA) as an aid to guide discharge and diuresis goals (2/13)
There is some evidence that "Hidration Status" (by BIVA) at discharge predicts CV events better than BNP. However for some reason this study used admission BNP while it is most likely that discharge BNP is the one that matters (3/13)
