Geriatric Out of Hospital Randomized Meal Trial in Heart Failure

Exclusion Criteria

• •persistent hypotension during hospitalization or excessive risk of hypotension from the study diet as judged by the investigators or systolic BP \<110 on discharge
• •use of inotropic therapy at hospital discharge,
• •severe valvular heart disease as the primary etiology of the patient's HF syndrome
• •uncontrolled hypertension defined as the following criteria for the last 24 hours prior to discharge (systolic BP \>180 mmHg or diastolic BP \>100 mmHg)
• •having two or more results of a serum potassium \>5.0 mmol/L during hospitalization or history of serum potassium \>6.0 mmol/L, and/or at an excessive risk of hyperkalemia as judged by the investigators
• •severe renal insufficiency (estimated glomerular filtration rate \<30 ml/min/1.73m\^2 at discharge)
• •severe anemia (hemoglobin \< 9 gm/dl)
• •length of stay \<48 hours or \>14 days
• •co-morbidity with expected survival \< 12 months
• •active alcohol or substance abuse
• •history of persistent noncompliance with treatment recommendations as judged by the investigators