Background: The purpose of this study was to determine: (1) whether stable heart failure patients with reduced ejection fraction (HFrEF) have elevated extravascular lung water (EVLW) when compared with healthy control subjects; and (2) the effect of acute β-adrenergic receptor (βAR) agonist inhalation on lung fluid balance.
Methods: Twenty-two stable HFrEF patients and 18 age- and gender-matched healthy subjects were studied. Lung diffusing capacity for carbon monoxide (DLCO), alveolar-capillary membrane conductance (Dm), pulmonary capillary blood volume (V) (via re-breathe) and lung tissue volume (V) (via computed tomography) were assessed before and within 30 minutes after administration of nebulized albuterol.