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Evidence-based fluid resuscitation of the septic HFpEF patient: A narrative review of the literature Cover

Evidence-based fluid resuscitation of the septic HFpEF patient: A narrative review of the literature

Open Access
|Jan 2026

Figures & Tables

Association between left ventricular function and patient outcomes

Author (Year)ObjectiveMeasure of LV FunctionDid LV Dysfunction Predict Outcomes?
Palmieri et al. (2015)Assessed the prognostic relevance of EF and global longitudinal LV systolic peak strain in sepsis [21]EFNo
GLSYes
Al Abbasi et al. (2020)Assess gender-specific compliance with >30 mL/Kg fluid bolus and outcomes in patients with CHF [20]EFNo*
Hai et al. (2020)Evaluate the prognostic value of a LV systolic function using speckle tracking echocardiography in patients with septic shock [22]Conventional 2D echo measures (EF, LVEDV, etc.)No
GLSYes
Khan et al. (2020)Assess the association between 30 mL/kg bolus and intubation in patients with sepsis or septic shock and HF, ESRD, or cirrhosis [12]EFNo
Acharya et al. (2021)Assess compliance with >30 mL/Kg fluid bolus in septic patients with and without CHF and their outcomes [7]EFYes
Ehrman et al. (2022)Assess the association between volume of IV crystalloid and outcomes in septic patients with reduced LVEF [19]EFNo
Weng et al. (2024)Assess the impact of early fluid dosing in septic patients with acute decompensated heart failure [16]EFYes**

Association between left ventricular dysfunction and fluid management

Author (Year)ObjectiveKey FindingsDid LV Dysfunction Predict Adherence to Fluid Bolus?
Franco Palacios CR et al. (2019)Identify factors that affect fluid resuscitation in septic patients [5]-LV function (EF or diastolic dysfunction) did not predict fluid volume administered, despite HF history being associated with less fluid givenNo

Al Abbasi et al. (2020)Assess gender-specific compliance with >30 mL/Kg fluid bolus and outcomes in patients with CHF [20]-Women with HFpEF received higher volumes of fluid than men with HFpEFNo*
-Men and women with HFrEF received similar amounts of fluid

Acharya et al. (2021)Assess compliance with >30 mL/Kg fluid bolus in septic patients with and without CHF and their outcomes [7]-The presence of a reduced EF did not affect the chances of getting a fluid bolus.No

Ehrman et al. (2022)Assess the association between volume of IV crystalloid and outcomes in septic patients with reduced LVEF [19]-HFrEF patients received similar IVF at 2h compared to preserved EFNo

Powell et al. (2022)Assess compliance with >30 mL/kg bolus in septic HFrEF patients [6]-HFrEF patients were less likely to receive IVF target at 6h compared to preserved EFYes
DOI: https://doi.org/10.2478/jccm-2026-0005 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 20 - 27
Submitted on: May 9, 2025
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Accepted on: Nov 13, 2025
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Published on: Jan 30, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Maxwell Ward, Roshan Acharya, Anthony Loschner, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.