Dopamine on top of standard treatment for patients with exacerbation of Heart Failure, at home situation.

This study will investigate if 24 hours of Dopamine infusion 2 µg/kg/min at home situation, on top of standard treatment, can increase successful home treatments.

In patients presenting in hospital with exacerbation of heart failure (NYHA III-IV) that are candidate for home treatment.

This study will investigate whether 24 hour dopamine infusion reduces the need of hospital admission for patients with exacerbation heart failure.

1. Baseline;

2. Start treatment;

3. 24 hr after start treatment;

4. End home treatment;

5. 30 days follow-up.

In this trial patients will be included that don't need to be hospitalized for the decompensated heart failure but can be recompensated with additional diuretics intra venous at home setting. The home treatment will be accompanied by the specialized nurses of the Chance@home team of the Isala klinieken. The patients that are randomized to Dopamine will receive 24 hours Dopamine on top of the standard treatment.