MedPage Today - "Less Sodium, Fluids No Help in Acute HF" - Dr. Valentin Fuster
Contrary to conventional wisdom, aggressively restricting fluids and sodium intake in acute decompensated heart failure patients did not improve outcomes, a small randomized trial found.
At three days, there was no significant difference between those randomized to aggressive treatment and those designated as controls in weight loss, urine output, clinical improvement, amount of IV diuretics, and time to discharge, according to the study from the Hospital de Clinicas de Porto Alegre in Brazil. "Understanding the mechanism involved in acute decompensated heart failure is as important as understanding the congestion," Valentine Fuster, MD, of the Mount Sinai Medical Center in New York City, told MedPage Today. Learn More