Diuretics play a crucial role in volume management for hospitalized patients with heart failure(HF),particularly those with acute decompensated HF(ADHF).Diuretic resistance(DR),manifested as a di-minished response or even a failure to diuretics,which not only prolongs in-hospital stay but also increases mortal-ity and rehospitalization.There is not yet a consensus regarding the diagnosis and management of DR in heart fail-ure patients.Therefore,this consensus focuses on elucidating the definition,mechanisms,diagnosis,and man-agement of DR.Based on clinical research findings and expert experiences,it offers recommendations for treat-ment,aiming to enhance physicians'awareness and standardize the management.