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Correspondence to Author: Wayne L. Miller, 

Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn , USA.

ABSTRACT: 
Background: The assessment and management of individuals with chronic heart failure (HF) continue to be hampered by volume overload and fluid congestion.
Conclusion: The pathophysiology of volume regulation has a complicated etiology. Passive intravascular fluid accumulation is a simplistic concept that is insufficient.Strategies for managing volume must take into consideration the dynamics of fluid redistribution from venous splanchnic beds to the central pulmonary circulation as well as interactions between interstitial and intravascular fluid compartments. Changes in volume status can be detected by clinical bedside evaluations and right heart hemodynamic measures, but only the quantitative measurement of total Blood volume can be used to determine how heterogeneous the plasma is. characteristics of volume include red blood cell mass and volume. excess in long-term heart failure.The quantitative evaluation of intravascular volume is a useful tool for directing suitable, tailored treatment.
Key Takeaway: Measurements of intravascular volume reveal variation in volume overload, which might inform individualized treatment.

Citation:

Wayne L. Miller. Can Blood Volume Be Measured to Help Manage Volume Overload and Congestion in Chronic Heart Failure?Give Fresh Perspectives? The American Journal of Kidney Diseases 2024.