Clinical and Research Considerations for Patients With Hypertensive Acute Heart Failure: A Consensus Statement from the Society for Academic Emergency Medicine and the Heart Failure Society of America Acute Heart Failure Working Group

被引：11

作者：

Collins, Sean P. ^{[1
]}

Levy, Phillip D. ^{[2
]}

Martindale, Jennifer L. ^{[3
]}

Dunlap, Mark E. ^{[4
]}

Storrow, Alan B. ^{[1
]}

Pang, Peter S. ^{[5
]}

Albert, Nancy M. ^{[6
]}

Felker, G. Michael ^{[7
]}

Fermann, Gregory J. ^{[8
]}

Fonarow, Gregg C. ^{[9
]}

Givertz, Michael M. ^{[10
]}

Hollander, Judd E. ^{[11
]}

Lanfear, David E. ^{[12
]}

Lenihan, Daniel J. ^{[13
]}

Lindenfeld, JoAnn M. ^{[13
]}

Peacock, W. Frank ^{[14
]}

Sawyer, Douglas B. ^{[15
]}

Teerlink, John R. ^{[16
]}

Butler, Javed ^{[17
]}

机构：

[1] Vanderbilt Univ, Dept Emergency Med, 221 Kirkland Hall, Nashville, TN 37235 USA

[2] Wayne State Univ, Dept Emergency Med, Detroit, MI USA

[3] SUNY Downstate, Dept Emergency Med, Brooklyn, NY USA

[4] Case Western Univ, Dept Med, Cleveland, OH USA

[5] Indiana Univ, Dept Emergency Med, Indianapolis, IN 46204 USA

[6] Cleveland Clin, Dept Med, Cleveland, OH 44106 USA

[7] Duke Univ, Dept Med, Durham, NC USA

[8] Univ Cincinnati, Dept Emergency Med, Cincinnati, OH USA

[9] Univ Calif Los Angeles, Dept Med, Los Angeles, CA 90024 USA

[10] Harvard Med Sch, Dept Med, Boston, MA USA

[11] Thomas Jefferson Univ, Dept Emergency Med, Philadelphia, PA 19107 USA

[12] Henry Ford Hlth Syst, Dept Med, Detroit, MI USA

[13] Vanderbilt Univ, Dept Med, Nashville, TN USA

[14] Baylor Coll Med, Dept Emergency Med, Houston, TX 77030 USA

[15] Maine Med Ctr, Dept Med, Portland, ME 04102 USA

[16] San Francisco VA Med Ctr, Dept Med, San Francisco, CA USA

[17] SUNY Stony Brook, Dept Med, Stony Brook, NY 11794 USA

来源：

ACADEMIC EMERGENCY MEDICINE | 2016年 / 23卷 / 08期

关键词：

WORSENING RENAL-FUNCTION; SCANDINAVIAN ENALAPRIL SURVIVAL; CARDIOGENIC PULMONARY-EDEMA; HAND-CARRIED ULTRASOUND; ISOSORBIDE-DINITRATE; BLOOD-PRESSURE; NONINVASIVE VENTILATION; TRANSDERMAL NITROGLYCERIN; INTRAVENOUS ENALAPRILAT; RISK STRATIFICATION;

D O I：

10.1111/acem.13025

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Management approaches for patients in the emergency department (ED) who present with acute heart failure (AHF) have largely focused on intravenous diuretics. Yet, the primary pathophysiologic derangement underlying AHF in many patients is not solely volume overload. Patients with hypertensive AHF (H-AHF) represent a clinical phenotype with distinct pathophysiologic mechanisms that result in elevated ventricular filling pressures. To optimize treatment response and minimize adverse events in this subgroup, we propose that clinical management be tailored to a conceptual model of disease that is based on these mechanisms. This consensus statement reviews the relevant pathophysiology, clinical characteristics, approach to therapy, and considerations for clinical trials in ED patients with H-AHF. (C) 2016 by the Society for Academic Emergency Medicine

引用

页码：922 / 931

页数：10

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