Limiting Fluids Versus Drinking to Thirst in Hospitalized Heart Failure Patients
Compares limiting fluids with drinking when thirsty in adults hospitalized for acute heart failure.
Plain-language title generated from the registry record
Registry title: Restrictive Versus Liberal Fluid Intake in Acute Decompensated Heart Failure
Key facts
- Where
- Herning, DenmarkSee the site
Where in Denmark
- Department of Cardiology, Gødstrup HospitalHerning, DenmarkTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Gødstrup Hospital
- Trial code
- NCT07400991
- Record updated
- 7 May 2026
- Original description
The aim of this clinical trial is to learn whether a thirst-driven, liberal fluid-intake strategy is comparable to a fluid-restriction strategy in patients hospitalized for acute decompensated heart failure (ADHF). The study will also assess the safety of the intervention and its effects on thirst and quality of life.Read full original descriptionShow less
Restrictive Versus Liberal Fluid Intake in Acute Decompensated Heart Failure: a Randomized Trial
The aim of this clinical trial is to learn whether a thirst-driven, liberal fluid-intake strategy is comparable to a fluid-restriction strategy in patients hospitalized for acute decompensated heart failure (ADHF). The study will also assess the safety of the intervention and its effects on thirst and quality of life.
Patients hospitalized with ADHF will be asked to follow either a thirst-driven fluid-intake strategy or a fluid-restriction strategy during their hospital stay and for one month after discharge.
Inclusion: Age >18 years; Hospitalized for ADHF as the primary diagnosis, meeting both of the following:; ≥1 documented symptom of new or worsening heart failure (dyspnea, fatigue, decreased exercise tolerance, or symptom of end-organ hypoperfusion); Objective evidence of ADHF, defined as either:; ≥2 physical signs (edema, ascites, pulmonary rales/crackles, increased JVP, S3 gallop, rapid weight gain due to fluid retention), OR ii. ≥1 physical sign AND ≥1 laboratory finding indicative of ADHF (BNP >500 ng/L or NT-proBNP >2000 ng/L if sinus rhythm, or BNP >750 ng/L or NT-proBNP >3000 ng/L if atrial fibrillation, radiological/ultrasound evidence of pulmonary congestion, echocardiographic sign [VCI >2.1 cm, LVOT VTI <15 cm, E/e' >14, D-dominant pulmonary venous inflow pattern], or invasive evidence [CVP >12 mmHg, PCWP >18 mmHg, CI <2.2 L/min/m2]); Treatment with ≥40 mg IV furosemide (or equivalent); Enrolment within 24 hours of admission; Ability to provide informed consent.
Exclusion: Requirement at admission for ICU-level care, or IV inotropic/vasopressor therapy for ADHF; Any condition which would make participation unsafe or substantially affect protocol adherence, as judged by investigator; Na+ <125 mmol/L or Na+ >145 mmol/L; End-stage chronic kidney disease on chronic dialysis or eGFR <15 mL/min/1.73 m2.