Inpatient management of acute decompensated heart failure

被引:20
|
作者
Raj, Leah [1 ]
Maidman, Samuel David [2 ]
Adhyaru, Bhavin B. [3 ]
机构
[1] Univ Southern Calif, Med Cardiovasc Med, Los Angeles, CA 90007 USA
[2] Emory Univ, Sch Med, Atlanta, GA 30322 USA
[3] Emory Univ, Med, Atlanta, GA 30322 USA
关键词
Heart failure; acute decompensated heart failure; heart failure exacerbation; Inpatient heart failure; NATRIURETIC PEPTIDE LEVELS; PRESERVED EJECTION FRACTION; BETA-BLOCKER CONTINUATION; IN-HOSPITAL MORTALITY; CLINICAL CHARACTERISTICS; NONINVASIVE VENTILATION; EMERGENCY-DEPARTMENT; LOOP DIURETICS; TASK-FORCE; RELAX-AHF;
D O I
10.1136/postgradmedj-2019-136742
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute decompensated heart failure (ADHF) is the leading cause of hospital admissions in patients older than 65 years. These hospitalisations are highly risky and are associated with poor outcomes, including rehospitalisation and death. The management of ADHF is drastically different from that of chronic heart failure as inpatient treatment consists primarily of haemodynamic stabilisation, symptom relief and prevention of short-term morbidity and mortality. In this review, we will discuss the strategies put forth in the most recent American College of Cardiology/American Heart Association and Heart Failure Society of America guidelines for ADHF as well as the evidence behind these recommendations.
引用
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页码:33 / 42
页数:10
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