Managing fluid retention in heart failure
Fluid congestion, also known as fluid overload, is a common clinical symptom in heart failure patients and is linked to a worse prognosis. Although not always clinically obvious, fluid congestion may benefit from more objective measurements than a straightforward clinical evaluation. Despite being the backbone of fluid congestion therapy, diuretics have not been demonstrated in any randomised studies to have any impact on mortality in individuals with chronic heart failure. Furthermore, it is unknown how much diuretics should be used in this population. The effectiveness of a reliable strategy for identifying and then treating subclinical congestion must be investigated.
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