<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332025000600353</article-id>
<article-id pub-id-type="doi">10.24875/rccar.24000103</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aplicación de un protocolo de descongestión rápida para pacientes con falla cardíaca aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Application of a rapid decongestion protocol for patients with acute heart failure]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Henao]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[Yuly J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zuluaga]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chavarriaga]]></surname>
<given-names><![CDATA[Juan C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arboleda]]></surname>
<given-names><![CDATA[Natalia A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pablo Tobón Uribe Departamento de Medicina Interna y Especialidades Médicas ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>6</numero>
<fpage>353</fpage>
<lpage>359</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332025000600353&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332025000600353&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332025000600353&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La falla cardíaca tiene alta prevalencia y mortalidad, y es causa de frecuentes hospitalizaciones por descompensación aguda con congestión. Los diuréticos son la piedra angular del tratamiento.  Objetivo: Describir los resultados de la aplicación de un protocolo de descongestión en una población con falla cardíaca con descompensación aguda en un centro de alta complejidad.  Métodos: Estudio descriptivo, retrospectivo que incluyó pacientes mayores de dieciocho años con falla cardíaca descompensada y signos congestivos, hospitalizados por más de veinticuatro horas en un centro de alta complejidad y en quienes se aplicó un protocolo institucional de descongestión.  Resultados: Se incluyeron 55 pacientes con falla cardíaca descompensada. La adherencia al protocolo con administración de bolo inicial de furosemida fue del 85% y en el 82% de los casos el tiempo puerta-diurético fue menor a una hora. El sodio urinario estuvo bajo la meta en el 3.6% de los pacientes. Se logró una mediana de diuresis de 2.6 litros. Ningún paciente desarrolló lesión renal aguda, durante la hospitalización o al egreso. La mediana de hospitalización fue de cinco días, la mortalidad fue del 3.6% y los reingresos por falla cardíaca a treinta días fueron del 9%.  Conclusiones: El protocolo agresivo de descongestión resultó en una estancia hospitalaria corta, baja mortalidad y reingresos. No se incrementó el riesgo de hipotensión, falla renal ni trastornos electrolíticos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Heart failure has high prevalence, mortality and is the cause of frequent hospitalizations due to acute decompensation with congestion. Diuretics are the cornerstone of treatment.  Objective: To describe the results of applying a decongestion protocol in a population with acute decompensated heart failure in a high-complexity center.  Methods: Descriptive, retrospective study that included patients &gt; 18 years old with decompensated heart failure and congestive signs, hospitalized for more than 24 hours in a high complexity center and in whom an institutional decongestion protocol was applied.  Results: 55 patients with decompensated heart failure were included. Adherence to the protocol with initial bolus administration of furosemide was 85% and, in 82% of cases, the door-to-diuretic time was less than 1 hour. Urinary sodium was below the goal in 3.6% of patients. A median diuresis of 2.4 L is achieved. No patient developed acute kidney injury during hospitalization or upon discharge. The median hospitalization was 5 days, with 3.6% mortality and 9% readmissions due to heart failure at 30 days.  Conclusions: The aggressive decongestion protocol resulted in a short hospital stay, low mortality, and readmissions. The risk of hypotension, renal failure, or electrolyte disorders was not increased.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Insuficiencia cardíaca]]></kwd>
<kwd lng="es"><![CDATA[Diuréticos]]></kwd>
<kwd lng="es"><![CDATA[Furosemida]]></kwd>
<kwd lng="en"><![CDATA[Heart failure]]></kwd>
<kwd lng="en"><![CDATA[Diuretics]]></kwd>
<kwd lng="en"><![CDATA[Furosemide]]></kwd>
</kwd-group>
</article-meta>
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