THE IMPORTANCE OF ASSESSING VOLUMETRIC STATUS IN THE ACUTE DECOMPENSATION PHASE OF CHRONIC HEART FAILURE

Acute decompensated heart failure (ADHF) is a life-threatening condition primarily characterized by fluid overload and systemic congestion. Accurate assessment of volumetric status is critical for guiding diuretic therapy and preventing both under-diuresis and worsening renal function. This article presents a clinical study conducted at the Department of Faculty Therapy of Andijan State Medical Institute. Using the IMRAD framework, the research evaluates the utility of integrating multi-parametric ultrasound assessment (inferior vena cava diameter and lung ultrasound) alongside standard clinical examination to determine the optimal decongestion strategy. The study involved 48 patients admitted with ADHF. The participants were divided into a standard care group and an ultrasound-guided management group. The results demonstrate that the ultrasound-guided approach led to a more significant reduction in NT-proBNP levels and a shorter duration of hospitalization compared to clinical assessment alone. The study concludes that objective instrumental monitoring of volume status is superior to physical examination for managing acute decompensation events

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