Management of most patients with heart failure occurs at an outpatient level, with the GP playing a central role in initial diagnosis, counselling, regular assessment of fluid status, titration and monitoring of medications and end-of-life care.
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A trial assessing the implantable CardioFit® device designed to stimulate the parasympathetic nervous system in heart failure patients failed to meet its primary endpoints – reducing the rate of hospitalization due to heart failure or death by any cause.
The use of spot urine appears to be unhelpful in estimating 24-hour urinary sodium excretion at the individual level due to its poor performance with regard to misclassification, according to a recent study.