Managing congestive heart failure: It is mostly about water, not salt!

Antonio Iaconelli^{1

2}, Insa Emrich^{3

4}, Pierpaolo Pellicori², John G F Cleland²

Affiliations

¹ Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
² School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
³ Department of Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany.
⁴ Faculty of Medicine, Saarland University, Homburg/Saarbrücken, Germany.

Editorial

Antonio Iaconelli et al. Eur J Heart Fail. 2025 Feb.

. 2025 Feb;27(2):344-346.

doi: 10.1002/ejhf.3457. Epub 2024 Oct 3.

Antonio Iaconelli^{1

2}, Insa Emrich^{3

4}, Pierpaolo Pellicori², John G F Cleland²

¹ Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
² School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
³ Department of Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany.
⁴ Faculty of Medicine, Saarland University, Homburg/Saarbrücken, Germany.

No abstract available

References

1. Boorsma EM, Ter Maaten JM, Damman K, Dinh W, Gustafsson F, Goldsmith S, et al. Congestion in heart failure: A contemporary look at physiology, diagnosis and treatment. Nat Rev Cardiol 2020;17:641–655. https://doi.org/10.1038/s41569‐020‐0379‐7
1. Cleland JGF, Pfeffer MA, Clark AL, Januzzi JL, McMurray JJV, Mueller C, et al. The struggle towards a universal definition of heart failure‐how to proceed? Eur Heart J 2021;42:2331–2343. https://doi.org/10.1093/eurheartj/ehab082
1. Mullens W, Damman K, Harjola VP, Mebazaa A, Brunner‐La Rocca HP, Martens P, et al. The use of diuretics in heart failure with congestion – a position statement from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2019;21:137–155. https://doi.org/10.1002/ejhf.1369
1. Shoaib A, Waleed M, Khan S, Raza A, Zuhair M, Kassianides X, et al. Breathlessness at rest is not the dominant presentation of patients admitted with heart failure. Eur J Heart Fail 2014;16:1283–1291. https://doi.org/10.1002/ejhf.153
1. Ambrosy AP, Cerbin LP, Armstrong PW, Butler J, Coles A, DeVore AD, et al. Body weight change during and after hospitalization for acute heart failure: Patient characteristics, markers of congestion, and outcomes: Findings from the ASCEND‐HF trial. JACC Heart Fail 2017;5:1–13. https://doi.org/10.1016/j.jchf.2016.09.012