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

被引：54

作者：

Collins, Sean ^{[1
,2
]}

Storrow, Alan B. ^{[2
]}

Albert, Nancy M. ^{[3
]}

Butler, Javed ^{[4
]}

Ezekowitz, Justin ^{[5
]}

Felker, G. Michael ^{[6
]}

Fermann, Gregory J. ^{[7
]}

Fonarow, Gregg C. ^{[8
]}

Givertz, Michael M. ^{[9
]}

Hiestand, Brian ^{[10
]}

Hollander, Judd E. ^{[11
]}

Fonarow, Gregg C. ^{[8
]}

Givertz, Michael M. ^{[9
]}

Hiestand, Brian ^{[10
]}

Hollander, Judd E. ^{[11
]}

Lanfear, David E. ^{[12
]}

Levy, Phillip D. ^{[13
]}

Pang, Peter S. ^{[14
]}

Peacock, W. Frank ^{[15
]}

Sawyer, Douglas B. ^{[2
]}

Teerlink, John R. ^{[16
]}

Lenihan, Daniel J. ^{[2
]}

机构：

[1] Nashville Vet Affairs Med Ctr, Nashville, TN USA

[2] Vanderbilt Univ, Nashville, TN 37232 USA

[3] Cleveland Clin, Cleveland, OH 44106 USA

[4] Emory Univ, Atlanta, GA 30322 USA

[5] Univ Alberta, Edmonton, AB, Canada

[6] Duke Univ, Durham, NC USA

[7] Univ Cincinnati, Cincinnati, OH USA

[8] Ronald Reagan UCLA Med Ctr, Los Angeles, CA USA

[9] Harvard Univ, Sch Med, Boston, MA USA

[10] Wake Forest Univ, Winston Salem, NC 27109 USA

[11] Thomas Jefferson Univ, Philadelphia, PA 19107 USA

[12] Henry Ford Hosp, Detroit, MI 48202 USA

[13] Wayne State Univ, Detroit, MI USA

[14] Indiana Univ Sch Med, Indianapolis, IN 46202 USA

[15] Baylor Coll Med, Houston, TX 77030 USA

[16] Univ Calif San Francisco, San Francisco Vet Affairs Med Ctr, San Francisco, CA 94143 USA

来源：

JOURNAL OF CARDIAC FAILURE | 2015年 / 21卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Acute heart failure; emergency medicine; early management; BRAIN NATRIURETIC PEPTIDE; IN-HOSPITAL MORTALITY; PULMONARY ARTERIAL-PRESSURE; PRESERVED SYSTOLIC FUNCTION; END-DIASTOLIC PRESSURE; NT-PROBNP; RISK STRATIFICATION; DEPARTMENT PATIENTS; BEDSIDE ULTRASOUND; CHEST RADIOGRAPHY;

D O I：

10.1016/j.cardfail.2014.07.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 I-IF 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 ARE 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.

引用

页码：27 / 43

页数：17

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