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Thirst in chronic heart failure: a review
Sabine M Allida1, Sally C Inglis, Patricia M Davidson
1Centre for Cardiovascular & Chronic Care, Faculty of Health, University of Technology Sydney, Broadway, NSW, Australia.
Thirst is a common symptom in chronic heart failure, often linked to neurohormonal activation and fluid restriction. While chewing gum may help, more research is needed for effective interventions in heart failure patients.
Area of Science:
- Cardiology
- Nephrology
- Gerontology
Background:
- Thirst is a prevalent and distressing symptom in chronic heart failure (CHF).
- Current management strategies for thirst in CHF patients are limited.
- Understanding thirst in CHF is crucial for improving patient care and adherence to treatment.
Purpose of the Study:
- To explore factors contributing to thirst in patients with chronic heart failure.
- To identify and describe potential interventions for alleviating thirst in CHF patients.
Main Methods:
- A comprehensive literature review was conducted.
- Databases searched included Medline, CINAHL, PubMed, and Scopus.
- Nine studies meeting eligibility criteria (CHF diagnosis, thirst as outcome) were included.
Main Results:
- Factors contributing to thirst in CHF include prolonged neurohormonal activation, pharmacological treatments, fluid restriction, and emotional distress.
- No intervention studies specifically targeting thirst in CHF patients were identified.
- Interventions like artificial saliva and chewing gum show promise but require investigation in CHF populations.
Conclusions:
- Thirst significantly impacts CHF patients and may lead to poor adherence to fluid restrictions.
- Chewing gum is a potential intervention for thirst relief, warranting further study in CHF.
- Enhanced clinical awareness and targeted interventions for thirst can improve the quality of life for CHF patients.
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