The purpose of this multi-center clinical trial is to study the efficacy and safety of providing nutritional support added to the study-defined standard of care which consists of standardized dietary education and a single dietary counseling session shortly after discharge, versus study-defined standard of care alone.
aged 60 years
Veterans enrolled in a VHA facility
Hospitalized ( 24 hours) with new HF or worsening chronic HF
Dentition, swallowing function, etc. sufficient to safely consume food and liquid of standard composition and texture (i.e., no pureed food, no thickened liquids needed)
Food allergies or intolerances that cannot be accommodated by study diet
On dialysis or estimated glomerular filtration rate <30 at randomization
Serum potassium (non-hemolyzed) >6.0 mmol/L during index hospitalization
Heart transplant or active transplant listing