The aim of this prospective study was to evaluate the role of pocket ultrasound (US) in the management of patients with heart failure (HF) and renal impairment.

In patients with HF and renal impairment, change in the estimated glomerular filtration rate (eGFR) was significantly more favorable in the US-guided management group than in the group of patients receiving standard of care management.

We found no difference in the length of hospital stay or in 30-day readmissions between the study groups.

US-guided management of patients admitted with acute HF exacerbation and renal impairment may be beneficial in preserving kidney function.