Dietary sodium and fluid intake in heart failure. A clinical consensus statement of the Heart Failure Association of the ESC

被引：27

作者：

Mullens, Wilfried ^{[1
,2
,28
,29
]}

Damman, Kevin ^{[3
]}

Dhont, Sebastiaan ^{[1
,2
]}

Banerjee, Debasish ^{[4
]}

Bayes-Genis, Antoni ^{[5
]}

Cannata, Antonio ^{[6
]}

Chioncel, Ovidiu ^{[7
]}

Cikes, Maja ^{[8
]}

Ezekowitz, Justin ^{[9
,10
]}

Flammer, Andreas J. ^{[11
]}

Martens, Pieter ^{[1
,12
]}

Mebazaa, Alexandre ^{[13
]}

Mentz, Robert J. ^{[14
]}

Miro, Oscar ^{[15
]}

Moura, Brenda ^{[16
]}

Nunez, Julio ^{[17
,18
]}

Ter Maaten, Jozine M. ^{[3
]}

Testani, Jeffrey ^{[19
]}

van Kimmenade, Roland ^{[20
]}

Verbrugge, Frederik H. ^{[21
,22
]}

Metra, Marco ^{[23
,24
]}

Rosano, Giuseppe M. C. ^{[25
,26
]}

Filippatos, Gerasimos ^{[27
]}

机构：

[1] Ziekenhuis Oost Limburg AV, Dept Cardiol, Genk, Belgium

[2] Hasselt Univ, Hasselt, Belgium

[3] Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands

[4] St Georges Univ Hosp Natl Hlth Serv Fdn Trust, Renal & Transplantat Unit, London, England

[5] Hosp Universitari Germans Trias i Pujol, Barcelona, Spain

[6] Kings Coll London, Sch Cardiovasc Med & Sci, London, England

[7] Univ Med & Pharm Carol Davila, Emergency Inst Cardiovasc Dis, Bucharest, Romania

[8] Univ Zagreb, Sch Med, Univ Hosp Ctr Zagreb, Dept Cardiovasc Dis, Zagreb, Croatia

[9] Univ Alberta, Dept Med, Div Cardiol, Edmonton, AB, Canada

[10] Univ Alberta, Canadian VIGOUR Ctr, Edmonton, AB, Canada

[11] Univ Hosp Zurich, Univ Heart Ctr, Dept Cardiol, Zurich, Switzerland

[12] Cleveland Clin, Heart Vasc & Thorac Inst, Dept Cardiovasc Med, Cleveland, OH USA

[13] Univ Paris, INSERM, MASCOT, Paris, France

[14] Duke Clin Res Inst, Durham, NC USA

[15] Univ Barcelona, Hosp Clin Proc & Pathol, Dept Emergency, Emergencies Res Grp IDIBAPS, Barcelona, Spain

[16] Univ Porto, Hosp Forcas Armadas & Cintesis, Fac Med, Porto, Portugal

[17] Univ Valencia, Hosp Clin Univ Valencia, Cardiol Dept, INCLIVA, Valencia, Spain

[18] Univ Valencia, Hosp Clin Univ Valencia, Heart Failure Unit, INCLIVA, Valencia, Spain

[19] Yale Univ, Sch Med, Dept Internal Med, Sect Cardiovasc Med, New Haven, CT USA

[20] Radboud Univ Nijmegen, Dept Cardiol, Med Ctr, Nijmegen, Netherlands

[21] Univ Hosp Brussels, Ctr Cardiovasc Dis, Jette, Belgium

[22] Vrije Univ Brussel, Fac Med & Pharm, Jette, Belgium

[23] Univ Brescia, Cardiol, ASST Spedali Civili, Radiol Sci & Publ Hlth, Brescia, Italy

[24] Univ Brescia, Dept Med & Surg Specialties, Radiol Sci & Publ Hlth, Brescia, Italy

[25] St Georges Univ London, Mol & Clin Sci Res Inst, Cardiol Clin Acad Grp, London, England

[26] San Raffaele Cassino, Cardiol, Rome, Italy

[27] Attikon Univ Hosp, Dept Cardiol, Athens, Greece

[28] Ziekenhuis Oost Limburg Genk, Genk, Belgium

[29] Hasselt Univ, Hasselt, Belgium

来源：

EUROPEAN JOURNAL OF HEART FAILURE | 2024年 / 26卷 / 04期

关键词：

Heart failure; Sodium; Fluid; HYPERTONIC SALINE SOLUTION; MOLECULAR PHYSIOLOGY; VOLUME EXPANSION; RENAL-FUNCTION; RESTRICTION; MANAGEMENT; PATHOPHYSIOLOGY; OUTCOMES; THERAPY; THIRST;

D O I：

10.1002/ejhf.3244

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Sodium and fluid restriction has traditionally been advocated in patients with heart failure (HF) due to their sodium and water avid state. However, most evidence regarding the altered sodium handling, fluid homeostasis and congestion-related signs and symptoms in patients with HF originates from untreated patient cohorts and physiological investigations. Recent data challenge the beneficial role of dietary sodium and fluid restriction in HF. Consequently, the European Society of Cardiology HF guidelines have gradually downgraded these recommendations over time, now advising for the limitation of salt intake to no more than 5 g/day in patients with HF, while contemplating fluid restriction of 1.5-2 L/day only in selected patients. Therefore, the objective of this clinical consensus statement is to provide advice on fluid and sodium intake in patients with acute and chronic HF, based on contemporary evidence and expert opinion.

引用

页码：730 / 741

页数：12

共 93 条

[1] A Randomized Controlled Pilot Study of Outcomes of Strict Allowance of Fluid Therapy in Hyponatremic Heart Failure (SALT-HF) [J].