Fluid restriction in patients with heart failure: a systematic review

Studies on fluid restriction in patients with HF are scarce, and most of the available studies are at high risk of bias. Although power is lacking, there is no evidence indicating that fluid restriction affects mortality or HF hospitalisations, but there is a signal of harm in terms of thirst distress. Taken together, the current evidence does not support the routine use of fluid restriction in patients with HF.

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Publication Details

Journal
Heart
Published
2026-01-13
DOI
https://doi.org/10.1136/heartjnl-2025-326784
Primary Topic
Electrolyte and hormonal disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

Fluid restriction in patients with heart failure: a systematic review

Sandra Sanders-van Wijk, Job J. Herrmann, Roland R J van Kimmenade, D H Frank Gommans et al.
Heart
Electrolyte and hormonal disorders
article

Fluid restriction in patients with heart failure: a systematic review

Sandra Sanders-van Wijk, Job J. Herrmann, Roland R J van Kimmenade, D H Frank Gommans, Rachna van Berlo
article en

Abstract

Studies on fluid restriction in patients with HF are scarce, and most of the available studies are at high risk of bias. Although power is lacking, there is no evidence indicating that fluid restriction affects mortality or HF hospitalisations, but there is a signal of harm in terms of thirst distress. Taken together, the current evidence does not support the routine use of fluid restriction in patients with HF.

Heart
Radboud University Nijmegen (NL), Catharina Ziekenhuis (NL), Radboud University Medical Center (NL), Maastricht University (NL), Netherlands Heart Institute (NL), Máxima Medisch Centrum (NL), Zuyderland Medisch Centrum (NL)
Good health and well-being
Openalex Percentile: Top 90%
Electrolyte and hormonal disorders
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