Acute decompensated heart failure (ADHF) is the most common cause of hospital admission in patients 65 years, accounting for 1 million hospitalizations, 6 million hospital days, and $12 billion in costs annually in the United States alone.1,2 The prognosis of patients admitted with ADHF is dismal, with rates of rehospitalization or death approaching 50% within 6 months.3,4 Despite these alarmin...