Comprehensive in-hospital monitoring in acute heart failure: applications for clinical practice and future directions for research. A statement from the Acute Heart Failure Committee of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC)
Por:
Harjola, VP, Parissis, J, Brunner-La Rocca, HP, Celutkiene, J, Chioncel, O, Collins, SP, De Backer, D, Filippatos, GS, Gayat, E, Hill, L, Lainscak, M, Lassus, J, Masip, J, Mebazaa, A, Miro, O, Mortara, A, Mueller, C, Mullens, W, Nieminen, MS, Rudiger, A, Ruschitzka, F, Seferovic, PM, Sionis, A, Vieillard-Baron, A, Weinstein, JM, de Boer, RA, Crespo-Leiro, MG, Piepoli, M, Riley, JP
Publicada:
1 jul 2018
Resumen:
This paper provides a practical clinical application of guideline recommendations relating to the inpatient monitoring of patients with acute heart failure, through the evaluation of various clinical, biomarker, imaging, invasive and non-invasive approaches. Comprehensive inpatient monitoring is crucial to the optimal management of acute heart failure patients. The European Society of Cardiology heart failure guidelines provide recommendations for the inpatient monitoring of acute heart failure, but the level of evidence underpinning most recommendations is limited. Many tools are available for the in-hospital monitoring of patients with acute heart failure, and each plays a role at various points throughout the patient's treatment course, including the emergency department, intensive care or coronary care unit, and the general ward. Clinical judgment is the preeminent factor guiding application of inpatient monitoring tools, as the various techniques have different patient population targets. When applied appropriately, these techniques enable decision making. However, there is limited evidence demonstrating that implementation of these tools improves patient outcome. Research priorities are identified to address these gaps in evidence. Future research initiatives should aim to identify the optimal in-hospital monitoring strategies that decrease morbidity and prolong survival in patients with acute heart failure.
Filiaciones:
Harjola, VP:
Univ Helsinki, Helsinki Univ Hosp, Dept Emergency Med & Serv, Emergency Med, Helsinki, Finland
Parissis, J:
Athens Univ Hosp, Athens, Greece
Brunner-La Rocca, HP:
Maastricht Univ, Med Ctr, Dept Cardiol, Maastricht, Netherlands
Celutkiene, J:
Vilnius Univ, Clin Cardiac & Vasc Dis, Inst Clin Med, Fac Med, Vilnius, Lithuania
Chioncel, O:
Univ Med & Pharm Carol Davila, Inst Emergency Cardiovasc Dis, Bucharest, Romania
Collins, SP:
Vanderbilt Univ, Med Ctr, Dept Emergency Med, Nashville, TN USA
De Backer, D:
Univ Libre Bruxelles, CHIREC Hosp, Dept Intens Care Med, Brussels, Belgium
Filippatos, GS:
Athens Univ Hosp, Athens, Greece
Gayat, E:
Univ Paris Diderot, Hop Univ St Louis Lariboisiere, Dept Anesthesie Reanimat SMUR, INSERM,UMR 942,AP,HP, Paris, France
Hill, L:
Queens Univ, Belfast, Antrim, North Ireland
Lainscak, M:
Gen Hosp Murska, Dept Internal Med, Sobota, Murska Sobota, Slovenia
Gen Hosp Murska, Dept Res & Educ, Sobota, Murska Sobota, Slovenia
Univ Ljubljana, Fac Med, Ljubljana, Slovenia
Lassus, J:
Univ Helsinki, Helsinki Univ Hosp, Cardiol Heart & Lung Ctr, Helsinki, Finland
Masip, J:
Univ Barcelona, Consorci Sanitari Integral, Barcelona, Spain
Hosp Sanitas CIMA, Barcelona, Spain
Mebazaa, A:
INSERM, AP HP, U942, Paris, France
ININ CRCT, Nancy, France
Univ Paris Diderot, Paris, France
Hop Univ St Louis Lariboisiere, AP HP, Dept Anesthesia & Crit Care, Paris, France
Miro, O:
Univ Barcelona, Hosp Clin, Emergency Dept, Barcelona, Catalonia, Spain
Mortara, A:
Policlin Monza, Dept Cardiol, Monza, Italy
Mueller, C:
Univ Hosp Basel, Dept Cardiol, Basel, Switzerland
Univ Hosp Basel, CRIB, Basel, Switzerland
Mullens, W:
Hasselt Univ, Ziekenhuis Oost Limburg, Genk Biomed Res Inst, Fac Med & Life Sci,Dept Cardiol, Diepenbeek, Belgium
Nieminen, MS:
Univ Helsinki, Dept Cardiol, Helsinki, Finland
Rudiger, A:
Univ & Univ Hosp Zurich, Cardiosurg Intens Care Unit, Zurich, Switzerland
Ruschitzka, F:
Univ Hosp Zurich, Univ Heart Ctr, Zurich, Switzerland
Seferovic, PM:
Univ Belgrade, Dept Internal Med, Sch Med, Belgrade, Serbia
Univ Belgrade, Med Ctr, Heart Failure Ctr, Belgrade, Serbia
Sionis, A:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Cardiol Dept, Barcelona, Spain
Vieillard-Baron, A:
UVSQ, Team EpReC Renal & Cardiovasc Epidemiol, CESP, INSERM,U 1018, F-94807 Villejuif, France
Univ Hosp Ambroise Pare, AP HP, Boulogne, France
Weinstein, JM:
Soroka Univ, Med Ctr, Cardiol Div, Beer Sheva, Israel
de Boer, RA:
Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands
Crespo-Leiro, MG:
UDC, CIBERCV, Inst Invest Biomed A Coruna INIBIC, CHUAC, La Coruna, Spain
Piepoli, M:
Guglielmo da Saliceto Hosp, Heart Failure Unit, Piacenza, Italy
Riley, JP:
Imperial Coll, London, England
Green Published, Bronze
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