Impact of Dietary Sodium Restriction on Heart Failure Outcomes

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Impact of Dietary Sodium Restriction on Heart Failure Outcomes.

OBJECTIVES This study sought to evaluate the impact of sodium restriction on heart failure (HF) outcomes. BACKGROUND Although sodium restriction is advised for patients with HF, data on sodium restriction and HF outcomes are inconsistent. METHODS We analyzed data from the multihospital HF Adherence and Retention Trial, which enrolled 902 New York Heart Association functional class II/III HF...

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Dietary Sodium Restriction in Heart Failure: A Recommendation Worth its Salt?

D ietary sodium “indiscretion” is considered a common and potentially modifiable precipitant of heart failure (HF) decompensation. As a result, dietary sodium restriction is the most commonly recommended self-care behavior suggested to patients with HF (1). On average, Americans consume between 3,400 and 3,700 mg/day of sodium (2). Current guidelines advise that patients with symptomatic HF sho...

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Sodium restriction in heart failure: how low should you go?

The notion that sodium restriction might be of value for patients with heart failure has been around since at least the 1940s.1 In recent years, sodium restriction has become a standard component of heart failure treatment. A variety of professional organizations now recommend that patients with heart failure, and indeed all adults, limit their sodium intake because of concerns that high sodium...

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The Uncertainty of Sodium Restriction in Heart Failure: We Can Do Better Than This.

Clinical vignette: a young woman develops a dilated cardiomyopathy with severe impairment of left ventricular (LV) function and corresponding symptoms consistent with advanced heart failure (HF). She is treated effectively with evidence-based medical therapy and experiences recovery of LV systolic function with at least a doubling of the ejection fraction (EF) and near complete resolution of he...

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BACKGROUND Acute worsening of renal function, an independent risk factor for adverse outcomes in acute decompensated heart failure (ADHF), occurs as a consequence of new onset kidney injury (AKI) or acute deterioration of pre-existed chronic kidney disease (CKD) (acute-on-chronic kidney injury, ACKI). However, the possible difference in prognostic implication between AKI and ACKI has not been w...

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ژورنال

عنوان ژورنال: JACC: Heart Failure

سال: 2016

ISSN: 2213-1779

DOI: 10.1016/j.jchf.2015.08.007