Add-on Diuretics in Acute Decompensated Heart Failure

This study is testing whether adding extra diuretic medications (water pills) to standard treatment can help people hospitalized with a flare-up of heart failure (called acute decompensated heart failure) shed excess fluid more effectively and recover faster. **You may be eligible if...** - You are over 18 years old - You have been admitted to hospital with a diagnosis of acute decompensated heart failure - You have visible signs of fluid buildup such as leg swelling, abdominal fluid, or fluid around the lungs **You may NOT be eligible if...** - You have type 1 diabetes - Your kidneys are very poorly functioning (eGFR below 30) or you are on dialysis - Your blood pressure is very low (systolic below 90 mmHg) - You are in cardiogenic shock (severely low heart output) - You received certain diuretics (SGLT2 inhibitors, thiazides) in the 48 hours before joining the study - You have moderate to severe anemia - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.