Current guidelines suggest that diuretic treatment is indicated only in patients that are in congestive heart failure. Giving loop diuretics before that time carries the risk of dehydration, electrolyte imbalance, and undesirable RAAS activation, promoting sodium and water retention, as well as sympathetic stimulation, which can cause more rapid progression of heart disease…

For patients who are at risk of developing congestive heart failure and those who are already on treatment, it is very useful to regularly monitor their sleeping respiratory rate at home, as this parameter  significantly correlates with the degree of pulmonary congestion…