Chronic Heart Failure Beta-blockers in heart failure and concomitant atrial fibrillation NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 6.1.2 Recommendations on lifestyle 6.1.2.1 Smoking and alcohol See NICE s guidance on smoking and tobacco and alcohol. 6.1.2.2 Salt and fluid restrictions 18.Do not routinely advise people with heart failure to restrict their sodium or fluid consumption. Ask about salt and fluid consumption and, if needed, advise as follows: restricting fluids for people with dilutional hyponatraemia reducing intake for people with high levels of salt and/or fluid consumption. Continue to review the need to restrict salt or fluid. [2018] 19.Advise people with heart failure to avoid salt substitutes that contain potassium. [2018] 20.Offer people with heart failure an annual vaccination against influenza. [2003] 21.Offer people with heart failure vaccination against pneumococcal disease (only required 6.1.2.4 Contraception and pregnancy 22.In women of childbearing potential who have heart failure, contraception and pregnancy should be discussed. If pregnancy is being considered or occurs, specialist advice should be sought. Subsequently, specialist care should be shared between the cardiologist and 6.1.2.5 Air travel 23.Air travel will be possible for the majority of people with heart failure, depending on their clinical condition at the time of travel. [2003] 24.Large Goods Vehicle and Passenger Carrying Vehicle licence: physicians should be up to date with the latest Driver and Vehicle Licensing Agency guidelines. Check the website for regular updates [2003] Chronic Heart Failure Beta-blockers in heart failure and concomitant atrial fibrillation NICE 2018. All rights reserved. Subject to Notice of rights. ISBN: 978-1-4731-3093-7 6.2 Pharmacological treatment A review of new evidence published after 2010 was carried out in order to determine whether any changes to current recommendations where likely to be required. 