Diuretic Resistance Risk and the Efficacy of Natriuresis-Guided Diuretic Therapy in Acute Heart Failure

Patients with a high BAN-ADHF score had impaired natriuresis and worse clinical outcomes. Natriuresis-guided therapy improved 24-hour natriuresis consistently across the spectrum of BAN-ADHF scores, with enhanced natriuretic effects at later time points among those with high DR risk. (Pragmatic Urinary Sodium AlgoritHm in Acute Heart Failure [PUSH-AF]; NCT04606927).

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Publication Details

Journal
JACC Heart Failure
Published
2026-03-01
DOI
https://doi.org/10.1016/j.jchf.2026.103017
Primary Topic
Heart Failure Treatment and Management
Type
article
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article

Diuretic Resistance Risk and the Efficacy of Natriuresis-Guided Diuretic Therapy in Acute Heart Failure

Iris E. Beldhuis, Wybe Nieuwland, Lara E.E.C. Zonneveld, Ambarish Pandey et al.
JACC Heart Failure
Heart Failure Treatment and Management
article

Diuretic Resistance Risk and the Efficacy of Natriuresis-Guided Diuretic Therapy in Acute Heart Failure

Iris E. Beldhuis, Wybe Nieuwland, Lara E.E.C. Zonneveld, Ambarish Pandey, Joan C. Trullas, Jozine M. ter Maaten, Peter van der Meer, Jenifer E. Coster, Dirk J. van Veldhuisen, Kevin Damman, Adriaan A. Voors
article en

Abstract

Patients with a high BAN-ADHF score had impaired natriuresis and worse clinical outcomes. Natriuresis-guided therapy improved 24-hour natriuresis consistently across the spectrum of BAN-ADHF scores, with enhanced natriuretic effects at later time points among those with high DR risk. (Pragmatic Urinary Sodium AlgoritHm in Acute Heart Failure [PUSH-AF]; NCT04606927).

JACC Heart Failure
Universitat de Vic - Universitat Central de Catalunya (ES), University Medical Center Groningen (NL), University of Groningen (NL), The University of Texas Southwestern Medical Center (US)
Good health and well-being
Openalex Percentile: Top 14%
Heart Failure Treatment and Management
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Diuretic Resistance Risk and the Efficacy of Natriuresis-Guided Diuretic Therapy in Acute Heart Failure — Iris E. Beldhuis, Wybe Nieuwland, et al. · JACC Heart Failure (2026) | TGRS Research Map | TGRS