Do you mean should fluid boluses be administered immediately, or should fluid boluses be initiated after an elevated lactic acid level is established in patients who have hemodynamic stability and a history of coronary heart failure

Are you wanting to establish if it decreases mortality rates? 

Do you mean should fluid boluses be administered immediately, or should fluid boluses be initiated after an elevated lactic acid level is established in patients who have hemodynamic stability and a history of coronary heart failure?   

Are you wanting to establish if it decreases mortality rates?