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Prog Cardiovasc Dis. 2016 Jan-Feb;58(4):401-6. doi: 10.1016/j.pcad.2015.12.002. Epub 2015 Dec 23.

Dietary Salt Restriction in Heart Failure: Where Is the Evidence?

Author information

1
Mid-America Heart Institute at Saint Luke's Hospital, Kansas City, MO, USA. Electronic address: jjdinicol@gmail.com.
2
R. G. Kar Medical College & Hospital, Kolkata, India.
3
Mid-America Heart Institute at Saint Luke's Hospital, Kansas City, MO, USA.

Abstract

Several dietary guidelines, health organizations and government policies recommend population-wide sodium restriction to prevent hypertension and related comorbidities like heart failure (HF). The current European Society of Cardiology and American College of Cardiology/American Heart Association Heart Failure guidelines recommend restricting sodium in HF patients. However, these recommendations are based on expert opinion (level C), leading to wide variability in application and lack of consensus among providers pertaining to dietary salt restriction. To evaluate the strength of current evidences to recommend dietary salt restriction among HF patients, we performed a comprehensive literature review and explored the safety and efficacy of such recommendations.

KEYWORDS:

Chloride; Heart failure; Hypertension; Salt; Sodium

PMID:
26721179
DOI:
10.1016/j.pcad.2015.12.002
[Indexed for MEDLINE]

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