Heart failure & cardiomyopathiesTrial design

Design and rationale of the Urine Sodium-directed Diuretic Adjustment Strategy in Heart Failure (US-DASH) trial

Am Heart JPublished

  • Pragmatic, single-center, randomized, controlled, open-label
  • stratification by eGFR (greater than versus less than 60 mL/min/1.73 m²) and number of home diuretics (0-1 versus 2+)

Study context

Population
Patients with acute heart failure
Planned comparison
a high-threshold natriuresis target improves natriuresis compared with both a low-threshold natriuretic strategy and traditional methods
Primary endpoint
24-hour natriuresis
Follow-up
24-hour

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Design and rationale of the Urine Sodium-directed Diuretic Adjustment Strategy in Heart Failure (US-DASH) trial. Am Heart J. Published 6 October 2026. doi:10.1016/j.ahj.2026.107622

Summarised from the published abstract; every number is checked against it