Fluid Volume Overload and Congestion in Heart Failure

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Fluid Volume Overload and Congestion in Heart Failure

Abstract—Volume regulation, assessment, and management remain basic issues in patients with heart failure. The discussion presented here is directed at opening a reassessment of the pathophysiology of congestion in congestive heart failure and the methods by which we determine volume overload status. Peer-reviewed historical and contemporary literatures are reviewed. Volume overload and fluid c...

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Fluid Volume Overload and Congestion in Heart Failure: Time to Reconsider Pathophysiology and How Volume Is Assessed.

Volume regulation, assessment, and management remain basic issues in patients with heart failure. The discussion presented here is directed at opening a reassessment of the pathophysiology of congestion in congestive heart failure and the methods by which we determine volume overload status. Peer-reviewed historical and contemporary literatures are reviewed. Volume overload and fluid congestion...

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Volume Overload in Heart Failure

The burden of heart failure (HF) remains formidable in the US, with nearly one million annual hospital admissions and frequent outpatient visits to a variety of care providers. While HF outcomes have improved modestly over the past several decades, many patients still struggle to maintain a satisfactory quality of life. Implantable cardioverter– defibrillators have reduced the risk for sudden c...

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Fluid overload contributing to heart failure.

BACKGROUND In advanced heart failure, the compensatory responses to reduced cardiac output, in spite of fluid retention, lead to maladaptive consequences. METHODS We performed a Medline survey for fluid overload and heart failure as well as reviewing textbook chapters. RESULTS The increased sympathetic nervous system, renin-angiotensin-aldosterone system, and antidiuretic hormone stimulatio...

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Assessment and Management of Volume Overload and Congestion in Chronic Heart Failure: Can Measuring Blood Volume Provide New Insights?

BACKGROUND Volume overload and fluid congestion remain primary clinical challenges in the assessment and management of patients with chronic heart failure (HF). SUMMARY The pathophysiology of volume regulation is complex, and the simple concept of passive intravascular fluid accumulation is not adequate. The dynamics of interstitial and intravascular fluid compartment interactions and fluid r...

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ژورنال

عنوان ژورنال: Circulation: Heart Failure

سال: 2016

ISSN: 1941-3289,1941-3297

DOI: 10.1161/circheartfailure.115.002922