Flexible vs. Fixed Diuretic Regimen in the Management of Chronic Heart Failure: A Pilot Study

Inclusion Criteria

• •1. Diagnosis of heart failure, either reduced (Left ventricular ejection fraction \[LVEF\] ≤ 40%) or preserved (LVEF \> 40%) ejection fraction as measured by echocardiography performed within the last 2 months
• •2. Prescribed and tolerating furosemide with a minimum daily dose of 40mg oral daily
• •3. New York Heart Association (NYHA) Class II or higher symptoms
• •4. NT-proBNP cutoff of ≥ 1000 pg/mL performed within 30 days prior to randomization
• •5. Age \> 18 years
• •6. English speaking
• •7. Access to a scale and ability to weigh themselves daily and reliable telephone access