 Worsening renal function WRF and hypokalemia related to diuretic use for acute decompensated heart failure ADHF are common and portend poor prognosis. Low dose dopamine infusion improves renal perfusion. Whether dopamine infusion improves diuresis andor reduces renal complication in ADHF is not known. The aim of this study is to compare the effects of high-dose furosemide HDF, 40 mg furosemide bolus IV, followed by continuous IV infusion of 20 mgh for a total of 8 hours vs. low-dose furosemide combined with low-dose dopamine LDFD, 40 mg furosemide bolus IV, followed by continuous IV infusion of 5 mgh furosemide plus 5μgkgmin dopamine for a total of 8 hours on diuresis, renal function, electrolyte balance, and 60-day post-discharge outcomes in patients hospitalized with ADHF. 