Science and Research

Fluid Restriction in Patients with Pulmonary Arterial Hypertension and Right Heart Failure

INTRODUCTION: In pulmonary arterial hypertension (PAH), right heart (RH) failure is associated with high mortality and poor prognosis. The objective of this cohort study was to assess, whether reduction of fluid intake is associated with RH size and clinical outcome in PAH patients. METHODS: A retrospective, exploratory analysis of patients with invasively diagnosed PAH and signs of fluid retention who were routinely clinically monitored for 8.4 ± 5.3 months including fluid uptake and signs of RH failure was performed. Patients were advised to reduce fluid uptake to a maximum of 2 L per day (L/day) according to clinical routine. Clinical characteristics of patients with normal fluid intake <2 L/day vs. high fluid intake

  • Benjamin, N.
  • Resag, C.
  • Xanthouli, P.
  • Harutyunova, S.
  • Eichstaedt, C.
  • Egenlauf, B.
  • Grünig, E.

Keywords

  • Humans
  • Male
  • Female
  • Retrospective Studies
  • *Heart Failure/therapy/physiopathology/mortality/complications
  • Middle Aged
  • *Fluid Therapy/methods
  • Aged
  • *Pulmonary Arterial Hypertension/therapy/complications
  • *Hypertension, Pulmonary/therapy/complications
  • Diuretics/therapeutic use
  • Adult
  • Hospitalization/statistics & numerical data
  • Fluid restriction
  • Pulmonary arterial hypertension
  • Right heart failure
  • Right heart size
  • Time to clinical worsening
Publication details
DOI: 10.1159/000546769
Journal: Respiration
Pages: 800-813 
Number: 11
Work Type: Original
Location: TLRC
Disease Area: PH
Partner / Member: Thorax, UKHD
Access-Number: 40618739


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