Q: What is the clinical importance of following Hemoglobin with Hematocrit in Congestive Heart Failure (CHF)?
Answer: The level of dilution correlates with mortality
Expanded plasma volume in patients with CHF causes a decrease in hematocrit level despite no actual drop in hemoglobin. This dilutional appears to have a poorer prognosis.
#cardiology
#hematology
References:
1. Montero D, Lundby C, Ruschitzka F, Flammer AJ. True Anemia-Red Blood Cell Volume Deficit-in Heart Failure: A Systematic Review. Circ Heart Fail 2017; 10.
2. Androne AS, Katz SD, Lund L, et al. Hemodilution is common in patients with advanced heart failure. Circulation 2003; 107:226.
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