Heart failure & cardiomyopathies

Understanding the Variability in Red Cell and Plasma Volume Combinations Can Help Guide Management in Heart Failure

ESC Heart FailPublished Retrospective cohort study

An erratum to this article was published (ESC Heart Fail, Jun 2025 ↗)

Authors' conclusion

Findings support the clinical relevance of identifying and accurately interpreting the varying combinations of PV and RBC mass in patients with chronic HF.

Study context

Population
Stable NYHA class II–III heart failure (HF) patients
Participants
546 patients
Outcome
BV profiles (combinations of PV and RBC mass)
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Quantitatively normal blood volume (BV)
32% of the cohort
True normal BV (normal plasma volume (PV) + normal red blood cell (RBC) mass) among normal BV
≈1/3
Normal BV: PV expansion with RBC mass deficit (anaemia)
14% of cohort
Normal BV: PV contraction with RBC mass excess (erythrocythemia)
6% of cohort
Hypervolaemia: PV excess with normal RBC mass
21% of cohort; 23% female
Hypervolaemia: PV excess with erythrocythemia
24% of cohort; 26% female
Hypovolaemia: RBC mass deficit with normal PV
6% of cohort; 57% female
Hypovolaemia: RBC mass deficit with PV contraction
5% of cohort; 48% female

Observational data: associations, not effects.

Original publication

Understanding the Variability in Red Cell and Plasma Volume Combinations Can Help Guide Management in Heart Failure. ESC Heart Fail. Published 12 September 2024. doi:10.1002/ehf2.15070

Composed by AI from the published abstract and checked against it. How Briefs are made →

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