Do you accept a decline in eGFR during aggressive diuresis for heart failure if the patient is successfully decongesting, given data suggesting modest eGFR decline with improved congestion may still be associated with lower mortality?

How much eGFR decline do you consider acceptable when diuresing patients with heart failure who are successfully decongesting?

• I do not accept any meaningful decline in eGFR
• Up to 20% decline is acceptable
• Up to 40% decline is acceptable
• Greater than 40% decline may still be acceptable in select cases
• I individualize based on the clinical scenario without a specific threshold
• Other