A rapid review and narrative synthesis of the evidence for oral sodium chloride supplements in the management of heart failure

For patients with HF treated with loop diuretics, higher oral NaCl intake may increase serum and urine sodium concentration, improve renal function, and reduce neurohormonal activation. There is insufficient evidence to support oral NaCl as an adjunct to diuretic treatment. More research is needed.

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Publication Details

Journal
European Heart Journal Open
Published
2026-02-04
DOI
https://doi.org/10.1093/ehjopen/oeag017
Primary Topic
Electrolyte and hormonal disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

A rapid review and narrative synthesis of the evidence for oral sodium chloride supplements in the management of heart failure

Andrea Hilton, Maureen Twiddy, Lee Middleton, Sarah Greenley et al.
European Heart Journal Open
Electrolyte and hormonal disorders
article

A rapid review and narrative synthesis of the evidence for oral sodium chloride supplements in the management of heart failure

Andrea Hilton, Maureen Twiddy, Lee Middleton, Sarah Greenley, Laurence Humphries-Davies, Thirimon Moe-Byrne, M J Johnson, O Amin, John G. F. Cleland
article en

Abstract

For patients with HF treated with loop diuretics, higher oral NaCl intake may increase serum and urine sodium concentration, improve renal function, and reduce neurohormonal activation. There is insufficient evidence to support oral NaCl as an adjunct to diuretic treatment. More research is needed.

European Heart Journal OpenVol. 6(2)
Castle Hill Hospital (GB), Living Streets (GB), Hull York Medical School (GB), University of Glasgow (GB), University of Birmingham (GB)
Good health and well-being
Openalex Percentile: Top 66%
Electrolyte and hormonal disorders
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A rapid review and narrative synthesis of the evidence for oral sodium chloride supplements in the management of heart failure — Andrea Hilton, Maureen Twiddy, et al. · European Heart Journal Open (2026) | TGRS Research Map | TGRS