Acute Heart Failure in the 2021 ESC Heart Failure Guidelines: a scientific statement from the Association for Acute CardioVascular Care (ACVC) of the European Society of Cardiology

The current European Society of Cardiology (ESC) Heart Failure Guidelines are the most comprehensive ESC document covering heart failure to date; however, the section focused on acute heart failure remains relatively too concise. Although several topics are more extensively covered than in previous...

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Detalles Bibliográficos
Autores: Masip, Josep, Frank Peacok, W, Arrigo, Mattia, Rosselló, Xavier, Platz, Elke, Cullen, Louise, Mebazaa, Alexandre, Price, Susanna, Bueno, Héctor, Di Somma, Salvatore, Tavares, Mucio, Cowie, Martin R, Maisel, Alan, Mueller, Christian, Miró, Òsar
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/20099
Acceso en línea:https://hdl.handle.net/20.500.13003/20099
Access Level:acceso abierto
Palabra clave:Cardiology
Critical Care
Humans
Shock, Cardiogenic
Heart Failure
Insuficiencia Cardíaca
Humanos
Cuidados Críticos
Cardiología
Choque Cardiogénico
Descripción
Sumario:The current European Society of Cardiology (ESC) Heart Failure Guidelines are the most comprehensive ESC document covering heart failure to date; however, the section focused on acute heart failure remains relatively too concise. Although several topics are more extensively covered than in previous versions, including some specific therapies, monitoring and disposition in the hospital, and the management of cardiogenic shock, the lack of high-quality evidence in acute, emergency, and critical care scenarios, poses a challenge for providing evidence-based recommendations, in particular when by comparison the data for chronic heart failure is so extensive. The paucity of evidence and specific recommendations for the general approach and management of acute heart failure in the emergency department is particularly relevant, because this is the setting where most acute heart failure patients are initially diagnosed and stabilized. The clinical phenotypes proposed are comprehensive, clinically relevant and with minimal overlap, whilst providing additional opportunity for discussion around respiratory failure and hypoperfusion.