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Original Article

Liberal versus restricted fluid prescription in stabilised patients with chronic heart failure: Result of a randomised cross-over study of the effects on health-related quality of life, physical capacity, thirst and morbidity

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Pages 316-322 | Received 14 Dec 2007, Published online: 12 Jul 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (3)

Nana Waldréus, Misook L Chung, Martje HL van der Wal & Tiny Jaarsma. (2018) Trajectory of thirst intensity and distress from admission to 4-weeks follow up at home in patients with heart failure. Patient Preference and Adherence 12, pages 2223-2231.
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Sabine M. Allida, Sally C. Inglis, Patricia M. Davidson, Christopher S. Hayward, Sajad Shehab & Phillip J. Newton. (2016) A survey of views and opinions of health professionals managing thirst in chronic heart failure. Contemporary Nurse 52:2-3, pages 244-252.
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Henriette Philipson, Inger Ekman, Karl Swedberg & Maria Schaufelberger. (2010) A pilot study of salt and water restriction in patients with chronic heart failure. Scandinavian Cardiovascular Journal 44:4, pages 209-214.
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Articles from other publishers (45)

Yaya Chen, Jin Ding, Yingbo Xi, Minfeng Huo, Yingjian Mou, Yu Song, Hailing Zhou & Xiaoqin Cui. (2023) Thirst in heart failure: A scoping review. Nursing Open 10:8, pages 4948-4958.
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Job J. Herrmann, Fabienne Beckers-Wesche, Lisette E.H.J.M. Baltussen, Marjolein H.I. Verdijk, Louise Bellersen, Hans-Peter Brunner-la Rocca, Tiny Jaarsma, Ron Pisters, Sandra Sanders-van Wijk, Laura Rodwell, Niels Van Royen, D.H. Frank Gommans & Roland R.J. Van Kimmenade. (2022) Fluid REStriction in Heart Failure vs Liberal Fluid UPtake: Rationale and Design of the Randomized FRESH-UP Study. Journal of Cardiac Failure 28:10, pages 1522-1530.
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Martje H.L. van der Wal, Tiny Jaarsma, Lieset C. Jenneboer & Gerard C.M. Linssen. (2022) Thirst in stable heart failure patients; time to reconsider fluid restriction and prescribed diuretics. ESC Heart Failure 9:4, pages 2181-2188.
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Franziska Wefer, Simone Inkrot, Nana Waldréus, Tiny Jaarsma, Maja von Cube & Christiane Kugler. (2022) Translation and Psychometric Evaluation of the German Version of the Thirst Distress Scale for Patients With Heart Failure. Journal of Cardiovascular Nursing 37:4, pages 378-385.
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Cinara Stein, Lucas Helal, Celina Borges Migliavaca, Caroline Nicola Sangalli, Verônica Colpani, Priscila Raupp da Rosa, Luís Beck-da-Silva, Luis E. Rohde, Carisi Anne Polanczyk & Maicon Falavigna. (2022) Are the recommendation of sodium and fluid restriction in heart failure patients changing over the past years? A systematic review and meta-analysis. Clinical Nutrition ESPEN 49, pages 129-137.
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Daiane Oliveira Simão, Renata Júlia da Costa, Bárbara Júlia Fonseca Verneque, Joana Ferreira do Amaral, Gicele Mendes Chagas & Camila Kümmel Duarte. (2021) Sodium and/or fluid restriction and nutritional parameters of adult patients with heart failure: A systematic review and meta-analysis of randomized controlled trial. Clinical Nutrition ESPEN 45, pages 33-44.
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Georgios Zisis, Amera Halabi, Quan Huynh, Christopher Neil, Melinda Carrington & Thomas H. Marwick. (2021) Use of novel non‐invasive techniques and biomarkers to guide outpatient management of fluid overload and reduce hospital readmission: systematic review and meta‐analysis. ESC Heart Failure 8:5, pages 4228-4242.
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Diogo Silva Piardi, Maurício Butzke & Luís Beck-da-Silva. (2021) Diuretics and Clinical Management of Congestion in Heart Failure: A Review. ABC: Heart Failure & Cardiomyopathy 1:1, pages 55-62.
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Sabine M. Allida, Sajad Shehab, Sally C. Inglis, Patricia M. Davidson, Christopher S. Hayward & Phillip J. Newton. (2021) A RandomisEd ControLled TrIal of ChEwing Gum to RelieVE Thirst in Chronic Heart Failure (RELIEVE-CHF). Heart, Lung and Circulation 30:4, pages 516-524.
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Arjun K. Gupta, Daniela Tomasoni, Kiran Sidhu, Marco Metra & Justin A. Ezekowitz. (2021) Evidence-Based Management of Acute Heart Failure. Canadian Journal of Cardiology 37:4, pages 621-631.
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Sanna Hagelberg Eng, Tiny Jaarsma, Josep Lupón, Beatriz González, Jenny Ehrlin, Violeta Díaz, Antoni Bayes-Genis & Nana Waldréus. (2021) Thirst and factors associated with frequent thirst in patients with heart failure in Spain. Heart & Lung 50:1, pages 86-91.
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Ying Jiang & Wenru Wang. 2021. Health Promotion in Health Care – Vital Theories and Research. Health Promotion in Health Care – Vital Theories and Research 269 285 .
Prafull Sharma, Vivek Guleria, Salil Garg, Gaurav Batta, Niket Verma & Susheel K. Malani. (2020) The Effect of Limiting Fluid Intake on Clinical, Biochemical and Functional Parameters in Compensated Heart Failure Patients at a North Indian Hospital. Journal of Evidence Based Medicine and Healthcare 7:42, pages 2389-2393.
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Martje H.L. van der Wal, Nana Waldréus, Tiny Jaarsma & Naoko P. Kato. (2020) Thirst in Patients With Heart Failure in Sweden, the Netherlands, and Japan. Journal of Cardiovascular Nursing 35:1, pages 19-25.
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Karina Sanches Machado d'Almeida, Eneida Rejane Rabelo-Silva, Gabriela Corrêa Souza, Melina Maria Trojahn, Sofia Louise Santin Barilli, Graziella Aliti, Luís Eduardo Rohde, Andreia Biolo & Luís Beck-da-Silva. (2018) Aggressive fluid and sodium restriction in decompensated heart failure with preserved ejection fraction: Results from a randomized clinical trial. Nutrition 54, pages 111-117.
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Sabine M. Allida, Christopher S. Hayward & Phillip J. Newton. (2018) Thirst in heart failure: what do we know so far?. Current Opinion in Supportive & Palliative Care 12:1, pages 4-9.
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Yanfei Shen, Xinmei Huang & Weimin Zhang. (2017) Association between fluid intake and mortality in critically ill patients with negative fluid balance: a retrospective cohort study. Critical Care 21:1.
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Can Zheng, Meihua Li, Toru Kawada, Masashi Inagaki, Kazunori Uemura & Masaru Sugimachi. (2017) Frequent drinking of small volumes improves cardiac function and survival in rats with chronic heart failure. Physiological Reports 5:21, pages e13497.
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Justin A. Ezekowitz, Eileen O'Meara, Michael A. McDonald, Howard Abrams, Michael Chan, Anique Ducharme, Nadia Giannetti, Adam Grzeslo, Peter G. Hamilton, George A. Heckman, Jonathan G. Howlett, Sheri L. Koshman, Serge Lepage, Robert S. McKelvie, Gordon W. Moe, Miroslaw Rajda, Elizabeth Swiggum, Sean A. Virani, Shelley Zieroth, Abdul Al-Hesayen, Alain Cohen-Solal, Michel D'Astous, Sabe De, Estrellita Estrella-Holder, Stephen Fremes, Lee Green, Haissam Haddad, Karen Harkness, Adrian F. Hernandez, Simon Kouz, Marie-Hélène LeBlanc, Frederick A. Masoudi, Heather J. Ross, Andre Roussin & Bruce Sussex. (2017) 2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure. Canadian Journal of Cardiology 33:11, pages 1342-1433.
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Robin K. Miller & Nathaniel Thornton. (2017) Does Evidence Drive Fluid Volume Restriction in Chronic Heart Failure?. Nursing Clinics of North America 52:2, pages 261-267.
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Eloisa Colin-Ramirez, JoAnne Arcand & Justin A. Ezekowitz. (2017) Dietary Self-management in Heart Failure: High Tech or High Touch?. Current Treatment Options in Cardiovascular Medicine 19:3.
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Nana Waldréus, Robert G. Hahn, Patrik Lyngå, Martje H. L. van der Wal, Ewa Hägglund & Tiny Jaarsma. (2016) Changes in Thirst Intensity During Optimization of Heart Failure Medical Therapy by Nurses at the Outpatient Clinic. Journal of Cardiovascular Nursing 31:5, pages E17-E24.
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April Zehm, Jonathan Mullin & Haipeng Zhang. (2016) Thirst in Palliative Care #313. Journal of Palliative Medicine 19:9, pages 1009-1010.
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Peter Johansson, Martje HL van der Wal, Anna Strömberg, Nana Waldréus & Tiny Jaarsma. (2016) Fluid restriction in patients with heart failure: how should we think?. European Journal of Cardiovascular Nursing 15:5, pages 301-304.
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Henderika Stobbe. (2016) Vochtbeperking bij hartfalen, is dat altijd nodig?. Nursing 22:3, pages 22-23.
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R. De Vecchis, C. Baldi, C. Cioppa, A. Giasi & A. Fusco. (2015) Effects of limiting fluid intake on clinical and laboratory outcomes in patients with heart failureAuswirkungen einer begrenzten Fl?ssigkeitsaufnahme auf die klinischen und Laborwertergebnisse bei Patienten mit Herzversagen. Herz 41:1, pages 63-75.
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Clement C. Eiswirth. 2016. Pharmacologic Trends of Heart Failure. Pharmacologic Trends of Heart Failure 73 124 .
Carolyn Miller Reilly, Melinda Higgins, Andrew Smith, Steven D. Culler & Sandra B. Dunbar. (2014) Isolating the benefits of fluid restriction in patients with heart failure: A pilot study. European Journal of Cardiovascular Nursing 14:6, pages 495-505.
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Arif Nazir & William D. Smucker. (2015) Heart Failure in Post-Acute and Long-Term Care: Evidence and Strategies to Improve Transitions, Clinical Care, and Quality of Life. Journal of the American Medical Directors Association 16:10, pages 825-831.
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Sabine M Allida, Sally C Inglis, Patricia M Davidson, Sara Lal, Christopher S Hayward & Phillip J Newton. (2015) Thirst in chronic heart failure: a review. Journal of Clinical Nursing 24:7-8, pages 916-926.
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Yang Li, Biao Fu & Xiaoxian Qian. (2015) Liberal Versus Restricted Fluid Administration in Heart Failure Patients. International Heart Journal 56:2, pages 192-195.
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Nana Waldréus, Martje H.L. van der Wal, Robert G. Hahn, Dirk J. van Veldhuisen & Tiny Jaarsma. (2014) Thirst Trajectory and Factors Associated With Persistent Thirst in Patients With Heart Failure. Journal of Cardiac Failure 20:9, pages 689-695.
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Jennifer E. Flythe, Thomas W. Mangione, Steven M. Brunelli & Gary C. Curhan. (2014) Patient-Stated Preferences Regarding Volume-Related Risk Mitigation Strategies for Hemodialysis. Clinical Journal of the American Society of Nephrology 9:8, pages 1418-1425.
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Sabine M Allida, Sally C Inglis, Patricia M Davidson, Christopher S Hayward & Phillip J Newton. (2014) Measurement of thirst in chronic heart failure- a review. Contemporary Nurse, pages 5134-5152.
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Sachin S. Soni, Shriganesh R. Barnela, Sonali S. Saboo, Arun B. Chinchiole, Ashish V. Deshpande, Shirish S. Deshmukh, Sudhir G. Kulkarni & Unmesh V. Takalkar. (2014) Cardiorenal syndrome. Clinical Queries: Nephrology 3:1, pages 30-37.
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Henriette Philipson, Inger Ekman, Heléne B. Forslund, Karl Swedberg & Maria Schaufelberger. (2014) Salt and fluid restriction is effective in patients with chronic heart failure. European Journal of Heart Failure 15:11, pages 1304-1310.
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Nana Waldréus, Robert G. Hahn, Jan Engvall, Johan Skoog, Lea Ewerman & Marcus Lindenberger. (2013) Thirst response to acute hypovolaemia in healthy women and women prone to vasovagal syncope. Physiology & Behavior 120, pages 34-39.
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Heike Spaderna, Daniela Zahn, Johanna Pretsch, Sonja L. Connor, Armin Zittermann, Stefanie Schulze Schleithoff, Katrina A. Bramstedt, Jacqueline M.A. Smits & Gerdi Weidner. (2013) Dietary Habits are Related to Outcomes in Patients With Advanced Heart Failure Awaiting Heart Transplantation. Journal of Cardiac Failure 19:4, pages 240-250.
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Andrew L. Clark & John G. F. Cleland. (2013) Causes and treatment of oedema in patients with heart failure. Nature Reviews Cardiology 10:3, pages 156-170.
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Nana Waldréus, Robert G. Hahn & Tiny Jaarsma. (2014) Thirst in heart failure: a systematic literature review. European Journal of Heart Failure 15:2, pages 141-149.
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Nana Waldr?us, Fredrik Sj?strand & Robert G. Hahn. (2011) Thirst in the elderly with and without heart failure. Archives of Gerontology and Geriatrics 53:2, pages 174-178.
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Mitja Lainscak, Lynda Blue, Andrew L. Clark, Ulf Dahlström, Kenneth Dickstein, Inger Ekman, Theresa McDonagh, John J. McMurray, Mary Ryder, Simon Stewart, Anna Strömberg & Tiny Jaarsma. (2014) Self‐care management of heart failure: practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure 13:2, pages 115-126.
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Keith A Thompson, Parag Bharadwaj, Kiran J Philip & Ernst R Schwarz. (2010) Heart failure therapy: beyond the guidelines. Journal of Cardiovascular Medicine 11:12, pages 919-927.
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Sachin S Soni, Yuan FahuanClaudio Ronco & Dinna N Cruz. (2009) Cardiorenal syndrome: biomarkers linking kidney damage with heart failure. Biomarkers in Medicine 3:5, pages 549-560.
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Barbara Riegel, Debra K. Moser, Stefan D. Anker, Lawrence J. Appel, Sandra B. Dunbar, Kathleen L. Grady, Michelle Z. Gurvitz, Edward P. Havranek, Christopher S. Lee, JoAnn Lindenfeld, Pamela N. Peterson, Susan J. Pressler, Douglas D. Schocken & David J. Whellan. (2009) State of the Science. Circulation 120:12, pages 1141-1163.
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