Viewpoint

The Sodium Paradox in Decompensated Heart Failure

JAMA Cardiology 10.1001/jamacardio.2026.0938

April 29, 2026 at 11:00 AM EDT

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This Viewpoint reviews evidence suggesting that controlled sodium chloride supplementation may facilitate decongestion in patients with decompensated heart failure.

Corresponding Author: Jan Biegus, MD, PhD, Institute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, Borowska 213, Poland (jan.biegus@umw.edu.pl).

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