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December 23, 2020Journal of Investigative MedicineOpen Access

Prognostic Value of Estimated Plasma Volume in Patients with Chronic Systolic Heart Failure

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Why the study?

Data are limited regarding the association between estimated plasma volume status determined using hemoglobin/hematocrit data and outcomes in patients with stable chronic heart failure.

Does higher estimated plasma volume status (ePVS) predict increased risk of all-cause mortality or heart failure rehospitalization in patients with stable chronic systolic heart failure?

Population

231 patients with stable CHF

Comparison

Three groups stratified by ePVS tertiles

Design

Prospective cohort study

Follow-up

Median 35.6 months

Authors

YLYuyao LinYXYanbo XueJLJing Liu

Discussion

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Overview

ePVS may aid risk stratification in stable systolic HF; hypothesis-generating and requires prospective validation before practice change.

Structured PICO

Does higher estimated plasma volume status (ePVS) predict increased risk of all-cause mortality or heart failure rehospitalization in patients with stable chronic systolic heart failure?

P
Population
274 patients with stable chronic systolic heart failure, mean age 61.98 years, 2.3% male.
I
Intervention
Higher estimated plasma volume status (ePVS) calculated at admission using the Duarte and Strauss formula (derived from hemoglobin and hematocrit ratios).
C
Comparator
Lower estimated plasma volume status (ePVS) tertiles (first and second tertiles).
O
Outcome
Composite of all-cause mortality or heart failure rehospitalization.composite

Estimated plasma volume status (ePVS) derived from hemoglobin and hematocrit is an independent prognostic marker for mortality and rehospitalization in patients with stable chronic systolic heart failure.

Cite This Study

Lin et al. (2020) studied this question.

synapsesocial.com/papers/6a090a0929af591ab70174e5https://doi.org/10.1136/jim-2020-001538
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