A prescription for loop diuretics after HF hospitalization may go further than often appreciated. It improved clinical risk, not just symptoms, in a study said to be worthy of influencing guidelines.

In 37% of patients diuretics were used for more than 1 year before hyponatraemia developed. Diuretic-induced hyponatraemia may be insidious and appear even after prolonged diuretics use.

It has been reported that patients receiving higher doses of diuretic treatment have a worse prognosis particularly in the setting of chronic HF. [27] In one single-centre report of patients with ...