Non-pharmacological management of chronic heart failure

Chronic heart failure (CHF) requires precise diagnosis and management combining pharmacological treatments and non-pharmacological interventions. Although their level of evidence remains variable, their place in the management of CHF is now well established. This article summarises data on the main non-pharmacological interventions in patients with stable CHF. Current data remain insufficient to justify systematic fluid restriction, while moderate sodium restriction proves preferable to strict restriction. Structured therapeutic education, exercise-based rehabilitation programs, and multidisciplinary management improve quality of life, reduce hospitalizations and, for certain interventions, mortality.