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Early management of patients with acute heart failure: state of the art and future directions. A consensus document from the society for academic emergency medicine/heart failure society of America acute heart failure working group.

Abstract：

:Heart failure (HF) afflicts nearly 6 million Americans, resulting in one million emergency department (ED) visits and over one million annual hospital discharges. An aging population and improved survival from cardiovascular diseases is expected to further increase HF prevalence. Emergency providers play a significant role in the management of patients with acute heart failure (AHF). It is crucial that emergency physicians and other providers involved in early management understand the latest developments in diagnostic testing, therapeutics and alternatives to hospitalization. Further, clinical trials must be conducted in the ED in order to improve the evidence base and drive optimal initial therapy for AHF. Should ongoing and future studies suggest early phenotype-driven therapy improves in-hospital and post-discharge outcomes, ED treatment decisions will need to evolve accordingly. The potential impact of future studies which incorporate risk-stratification into ED disposition decisions cannot be underestimated. Predictive instruments that identify a cohort of patients safe for ED discharge, while simultaneously addressing barriers to successful outpatient management, have the potential to significantly impact quality of life and resource expenditures.

journal_name

J Card Fail

journal_title

Journal of cardiac failure

authors

Collins S,Storrow AB,Albert NM,Butler J,Ezekowitz J,Felker GM,Fermann GJ,Fonarow GC,Givertz MM,Hiestand B,Hollander JE,Lanfear DE,Levy PD,Pang PS,Peacock WF,Sawyer DB,Teerlink JR,Lenihan DJ,SAEM\/HFSA Acute Heart Fail

doi

10.1016/j.cardfail.2014.07.003

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

27-43

issue

1

eissn

1071-9164

issn

1532-8414

pii

S1071-9164(14)00676-9

journal_volume

21

pub_type

杂志文章,评审

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