Eficacia y seguridad de la infusión subcutánea de furosemida en domicilio para el manejo de la insuficiencia cardiaca

Abstract

Heart failure is a very prevalent pathology, being one of the main causes of morbidity and mortality in developed countries. The treatment is based, among other drugs, on the administration of diuretics to improve the patient’s symptoms. However, in many cases, the lack of improvement with oral medication implies the need for hospital admission for intravenous administration. We present two cases of patients admitted to the Hospital at Home Unit who had refractory heart failure despite adequate diuretic treatment. Subcutaneous furosemide infusion was initiated in both. The first case presented symptom improvement with clinical resolution. The second was a terminally ill patient. Initially there was a clinical improvement but, due to the situation, the final decision was not to complete the treatment.