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Heart failure treatment should be approached by physicians and patients in an evidenced-based way. Medications such as beta blockers, ACE inhibitors, aldosterone antagonists, digitalis glycosides, and diuretics have been found to be clinically useful in patients with heart failure. There are a number of "natural" remedies for heart failure that have been purported over many years. These should be discussed with a physician that is treating the heart failure to assess their likelihood of improving symptoms or the heart dysfunction itself. One example of a good natural treatment for congestive heart failure would be avoidance of excessive salt and water intake. Patients with congestive heart failure may be required to decrease their daily salt intake to 2000 mg (2 g) and perhaps decrease their water intake to less than 64 ounces of water per day. These targets may vary based on clinical condition. There are small trials that suggest co-enzyme Q10 may have some positive impact in heart failure. Larger, definitive trials are in process with NIH/NHLBI. Omega-3 Fatty Acids also have a role in HF as defined by the GISSI-HF trial. There is a small improvement in mortality (chance of death) in this study in those taking 1 gram of fish oil daily.
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