Fluid Guided Heart Failure Treatment at the Cleveland Clinic

This study is testing a guided fluid management approach for people hospitalized with worsening heart failure. By tracking fluid levels carefully and using that information to direct treatment, the team hopes to help patients recover more quickly and avoid future hospitalizations. **You may be eligible if...** - You are 21 or older - You have been admitted to the Cleveland Clinic for a flare-up (decompensation) of heart failure - You can speak and read English **You may NOT be eligible if...** - Your heart failure symptoms are the most severe (Class IV — symptoms at rest) - You have received or are planning to receive a heart transplant or a ventricular assist device within the next year - Your kidneys are functioning very poorly (GFR below 25) and not responding to water pills (diuretics), or you are on dialysis - You regularly receive IV heart failure treatments at home (such as IV diuretics or IV heart-supporting drugs) - Your life expectancy is less than 12 months - You are pregnant or plan to become pregnant in the next year - You weigh over 375 pounds - You cannot stand on two bare feet without assistance Talk to your doctor to see if this trial is right for you.