PMID- 32710511
OWN - NLM
STAT- MEDLINE
DCOM- 20210621
LR  - 20210621
IS  - 2055-5822 (Electronic)
IS  - 2055-5822 (Linking)
VI  - 7
IP  - 5
DP  - 2020 Oct
TI  - Compression therapy for leg oedema in patients with heart failure.
PG  - 2012-2020
LID - 10.1002/ehf2.12848 [doi]
AB  - The presence of chronic heart failure (CHF) results in a significant risk of leg 
      oedema. Medical compression (MC) treatment is one of the basic methods of leg 
      oedema elimination in patients with chronic venous disease and lymphedema, but it 
      is not routinely considered in subjects with CHF-related swelling. In the study, 
      an overview of the current knowledge related to the benefits and risk of using MC 
      in the supportive treatment of leg oedema in CHF patients is presented. The 
      available studies dedicated the comprehensive management of leg swelling using MC 
      in CHF patients published in the English language literature till December 2019 
      were evaluated in term of the treatment efficacy and safety. In studies performed 
      on CHF populations, manual lymphatic drainage, MC stocking, multilayer bandaged, 
      as well as intermittent pneumatic compression or electric calf stimulations were 
      used. The current evidence is based on non-randomized studies, small study 
      cohorts, as well as very heterogenous populations. The use of the intermittent 
      pneumatic compression in CHF patients significantly increases the right auricular 
      pressure and mean pulmonary artery pressures as well as decreases systemic 
      vascular resistance in most patients without the clinical worsening. The 
      transient and rapid increase in the human atrial natriuretic peptide, after an 
      application of the MC stocking in New York Heart Association (NYHA) class II 
      patients was observed without clinical exacerbation. An application of the 
      multilayer bandages in NYHA classes III and IV patients lead a significant 
      increase in the right arterial pressure and lead to transient deterioration of 
      the right and the left ventricular functions. In the manual lymphatic drainage 
      study, aside from expected leg circumference reduction, no clinical worsening was 
      observed. In a pilot study performed in a small cohort of CHF patients, 
      electrical calf stimulation use resulted in a reduction in the lean mass of the 
      legs without cardiac function worsening. The use of local leg compression can be 
      considered stable CHF patients without decompensated heart function for both 
      CHF-related oedema treatment and for treatment of the concomitant diseases 
      leading to leg swelling occurrence. The use of MC in more severe classes of CHF 
      (NYHA III and IV) should be the subject of future clinical studies to select the 
      safest and most efficient compression method as well as to select the patients 
      who benefit most from this kind of treatment.
CI  - (c) 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on 
      behalf of the European Society of Cardiology.
FAU - Urbanek, Tomasz
AU  - Urbanek T
AD  - Department of General Surgery, Vascular Surgery, Angiology and Phlebology, 
      Medical University of Silesia, Katowice, Poland.
FAU - Jusko, Maciej
AU  - Jusko M
AD  - Department of General Surgery, Vascular Surgery, Angiology and Phlebology, 
      Medical University of Silesia, Katowice, Poland.
FAU - Kuczmik, Waclaw B
AU  - Kuczmik WB
AD  - Department of General Surgery, Vascular Surgery, Angiology and Phlebology, 
      Medical University of Silesia, Katowice, Poland.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20200725
PL  - England
TA  - ESC Heart Fail
JT  - ESC heart failure
JID - 101669191
SB  - IM
MH  - Edema/etiology/therapy
MH  - *Heart Failure/complications/therapy
MH  - Humans
MH  - *Leg
MH  - Pilot Projects
MH  - Pressure
PMC - PMC7524111
OTO - NOTNLM
OT  - Heart failure
OT  - Leg swelling
OT  - Lymphedema
OT  - Medical compression
EDAT- 2020/07/28 06:00
MHDA- 2021/06/22 06:00
PMCR- 2020/07/25
CRDT- 2020/07/26 06:00
PHST- 2020/04/08 00:00 [received]
PHST- 2020/05/16 00:00 [revised]
PHST- 2020/06/02 00:00 [accepted]
PHST- 2020/07/28 06:00 [pubmed]
PHST- 2021/06/22 06:00 [medline]
PHST- 2020/07/26 06:00 [entrez]
PHST- 2020/07/25 00:00 [pmc-release]
AID - EHF212848 [pii]
AID - 10.1002/ehf2.12848 [doi]
PST - ppublish
SO  - ESC Heart Fail. 2020 Oct;7(5):2012-2020. doi: 10.1002/ehf2.12848. Epub 2020 Jul 
      25.