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The Importance of Optimal Hydration in Patients with Heart Failure—Not Always Too Much Fluid

Heart failure (HF) is a leading cause of morbidity and mortality and a major public health problem. Both overhydration and dehydration are non-physiological states of the body that can adversely affect human health. Congestion and residual congestion are common in patients hospitalized for HF and ar...

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Detalles Bibliográficos
Autores principales: Wittczak, Andrzej, Ślot, Maciej, Bielecka-Dabrowa, Agata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10604032/
https://www.ncbi.nlm.nih.gov/pubmed/37893057
http://dx.doi.org/10.3390/biomedicines11102684
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author Wittczak, Andrzej
Ślot, Maciej
Bielecka-Dabrowa, Agata
author_facet Wittczak, Andrzej
Ślot, Maciej
Bielecka-Dabrowa, Agata
author_sort Wittczak, Andrzej
collection PubMed
description Heart failure (HF) is a leading cause of morbidity and mortality and a major public health problem. Both overhydration and dehydration are non-physiological states of the body that can adversely affect human health. Congestion and residual congestion are common in patients hospitalized for HF and are associated with poor prognosis and high rates of rehospitalization. However, the clinical problem of dehydration is also prevalent in healthcare and community settings and is associated with increased morbidity and mortality. This article provides a comprehensive review of the issue of congestion and dehydration in HF, including HF guidelines, possible causes of dehydration in HF, confirmed and potential new diagnostic methods. In particular, a full database search on the relationship between dehydration and HF was performed and all available evidence in the literature was reviewed. The novel hypothesis of chronic subclinical hypohydration as a modifiable risk factor for HF is also discussed. It is concluded that maintaining euvolemia is the cornerstone of HF management. Physicians have to find a balance between decongestion therapy and the risk of dehydration.
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spelling pubmed-106040322023-10-28 The Importance of Optimal Hydration in Patients with Heart Failure—Not Always Too Much Fluid Wittczak, Andrzej Ślot, Maciej Bielecka-Dabrowa, Agata Biomedicines Review Heart failure (HF) is a leading cause of morbidity and mortality and a major public health problem. Both overhydration and dehydration are non-physiological states of the body that can adversely affect human health. Congestion and residual congestion are common in patients hospitalized for HF and are associated with poor prognosis and high rates of rehospitalization. However, the clinical problem of dehydration is also prevalent in healthcare and community settings and is associated with increased morbidity and mortality. This article provides a comprehensive review of the issue of congestion and dehydration in HF, including HF guidelines, possible causes of dehydration in HF, confirmed and potential new diagnostic methods. In particular, a full database search on the relationship between dehydration and HF was performed and all available evidence in the literature was reviewed. The novel hypothesis of chronic subclinical hypohydration as a modifiable risk factor for HF is also discussed. It is concluded that maintaining euvolemia is the cornerstone of HF management. Physicians have to find a balance between decongestion therapy and the risk of dehydration. MDPI 2023-09-30 /pmc/articles/PMC10604032/ /pubmed/37893057 http://dx.doi.org/10.3390/biomedicines11102684 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Wittczak, Andrzej
Ślot, Maciej
Bielecka-Dabrowa, Agata
The Importance of Optimal Hydration in Patients with Heart Failure—Not Always Too Much Fluid
title The Importance of Optimal Hydration in Patients with Heart Failure—Not Always Too Much Fluid
title_full The Importance of Optimal Hydration in Patients with Heart Failure—Not Always Too Much Fluid
title_fullStr The Importance of Optimal Hydration in Patients with Heart Failure—Not Always Too Much Fluid
title_full_unstemmed The Importance of Optimal Hydration in Patients with Heart Failure—Not Always Too Much Fluid
title_short The Importance of Optimal Hydration in Patients with Heart Failure—Not Always Too Much Fluid
title_sort importance of optimal hydration in patients with heart failure—not always too much fluid
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10604032/
https://www.ncbi.nlm.nih.gov/pubmed/37893057
http://dx.doi.org/10.3390/biomedicines11102684
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