Acute Dyspnea and Decompensated Heart Failure

作者：Pang Peter S^*; Collins Sean P; Gheorghiade Mihai; Butler Javed

来源：Cardiology Clinics, 2018, 36(1): 63-+.

DOI：10.1016/j.cc12017.09.003

• Acute heart failure
• Emergency department
• Risk-stratification
• Observation units

Most patients hospitalized with acute heart failure (AHF) initially present to the emergency department (ED). Correct diagnosis followed by prompt treatment ensures optimal outcomes. Paradoxically, identification of high risk is not the unmet need, given nearly all ED patients with AHF are hospitalized; rather, it is identification of low risk. Currently, no risk-stratification instrument can be universally recommended to safely discharge ED patients. With the exception of diagnosis, management recommendations are largely expert opinion, informed by existing evidence and tradition. In the absence of robust evidence, we propose a framework for management to guide the busy clinician.

• 出版日期2018-2
• 单位西北大学