Heart failure & cardiomyopathies
The Role of Intra-Abdominal Pressure and Point of Care Ultrasound to Guide Decongestive Therapies in Acute Heart Failure
Authors' conclusion
The ABDOPOCUS-HF trial investigates whether integrating IAP and POCUS into decongestion strategies improves diuretic response and clinical outcomes in ADHF patients. Findings may inform future protocols for volume management in acute heart failure.
Study context
- Population
- Patients hospitalized with acute decompensated heart failure (ADHF) with clinical signs of congestion and elevated natriuretic peptides (NT-proBNP >1000 pg/mL or BNP > 250 pg/mL)patients hospitalized with ADHF across 14 Spanish hospitals
- Participants
- 168 patients
- Comparison
- a strategy guided by intra-abdominal pressure (IAP) and point-of-care ultrasound (POCUS) compared to standard diuretic titration
- Primary endpoint
- resolution of systemic congestion, measured by the ADVOR score
- Follow-up
- 72 h
Methodological details14 Spanish hospitals, 1:1 randomization
- 14 Spanish hospitals
- 1:1 randomization
Original publication
The Role of Intra-Abdominal Pressure and Point of Care Ultrasound to Guide Decongestive Therapies in Acute Heart Failure. ESC Heart Fail. Published 30 July 2025. doi:10.
Summarised from the published abstract; every number is checked against it