Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine

Alexandre Mebazaa¹, M Birhan Yilmaz², Phillip Levy³, Piotr Ponikowski⁴, W Frank Peacock⁵, Said Laribi⁶, Arsen D Ristic⁷, Ekaterini Lambrinou⁸, Josep Masip⁹, Jillian P Riley¹⁰, Theresa McDonagh¹¹, Christian Mueller¹², Christopher deFilippi¹³, Veli-Pekka Harjola¹⁴, Holger Thiele¹⁵, Massimo F Piepoli¹⁶, Marco Metra¹⁷, Aldo Maggioni¹⁸, John McMurray¹⁹, Kenneth Dickstein²⁰, Kevin Damman²¹, Petar M Seferovic^{22

23}, Frank Ruschitzka²⁴, Adelino F Leite-Moreira^{25

26}, Abdelouahab Bellou^{27

28}, Stefan D Anker^{29

30}, Gerasimos Filippatos³¹

Affiliations

¹ University Paris Diderot, Sorbonne Paris Cité; APHP, Lariboisière Saint Louis University Hospitals, Paris, France.
² Department of Cardiology, Cumhuriyet University Faculty of Medicine, Sivas, 58140, Turkey.
³ Department of Emergency Medicine and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, USA.
⁴ Wroclaw Medical University, 4th Military Hospital, Weigla 5, Wroclaw, 50-981, Poland.
⁵ Baylor College of Medicine, Ben Taub General Hospital, 1504 Taub Loop, Houston, TX, 77030, USA.
⁶ UMRS-942 Inserm, Paris, France.
⁷ Department of Cardiology, Clinical Center of Serbia and Belgrade University School of Medicine, Belgrade, Serbia.
⁸ Nursing Department, Cyprus University of Technology, School of Health Sciences, Limassol, Cyprus.
⁹ Consorci Sanitari Integral, Hospital Sant Joan DespiMoise's Broggi and Hospital General Hospitalet, University of Barcelona, Barcelona, Spain.
¹⁰ Imperial College, London, UK.
¹¹ King's College Hospital, London, UK.
¹² Department of Cardiology, University Hospital Basel, Switzerland.
¹³ School of Medicine, Division of Cardiovascular Medicine, University of Maryland, Baltimore, MD, USA.
¹⁴ Emergency Medicine, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
¹⁵ University of Luebeck, University Hospital of Schleswig-Holstein, Medical Clinic II, Luebeck, Germany.
¹⁶ Heart Failure Unit, Cardiac Dept., Guglielmo da Saliceto Hospital, AUSL Piacenza, Italy.
¹⁷ Cardiology, The Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
¹⁸ ANMCO Resarch Center, Fireze, Italy.
¹⁹ BHF Cardiovascular Research Centre, University of Glasgow, 126 University Place, Glasgow, UK.
²⁰ University of Bergen, Stavanger University Hospital, Bergen, Norway.
²¹ University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
²² Medical Faculty, University of Belgrade, Belgrade, Serbia.
²³ Department of Cardiology, University Medical Center, Belgrade, Serbia.
²⁴ Department of Cardiology, University Heart Center, Rämistrasse 100, Zurich, 8091, Switzerland.
²⁵ Department of Physiology and Cardiothoracic Surgery, Faculty of Medicine, University of Porto, Porto, Portugal.
²⁶ Department of Cardiothoracic Surgery, Centro Hospitalar Sao Joao, Porto, Portugal.
²⁷ Harvard Medical School and Emergency Medicine Department of Beth Israel Deaconess Medical Center, Boston, USA.
²⁸ Faculty of Medicine, University Rennes 1, Rennes, France.
²⁹ Division of Applied Cachexia Research, Department of Cardiology, Charite' Medical School, Berlin, Germany.
³⁰ Division of Innovative Clinical Trials, Department of Cardiology, University Medical Centre Göttingen (UMG), Göttingen, Germany.
³¹ Department of Cardiology, Attikon University Hospital, University of Athens Medical School, Athens, Greece.

PMID: 25999021
DOI: 10.1002/ejhf.289

Free article

Review

Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine

Alexandre Mebazaa et al. Eur J Heart Fail. 2015 Jun.

Free article

. 2015 Jun;17(6):544-58.

doi: 10.1002/ejhf.289. Epub 2015 May 21.

Authors

Affiliations

¹ University Paris Diderot, Sorbonne Paris Cité; APHP, Lariboisière Saint Louis University Hospitals, Paris, France.
² Department of Cardiology, Cumhuriyet University Faculty of Medicine, Sivas, 58140, Turkey.
³ Department of Emergency Medicine and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, USA.
⁴ Wroclaw Medical University, 4th Military Hospital, Weigla 5, Wroclaw, 50-981, Poland.
⁵ Baylor College of Medicine, Ben Taub General Hospital, 1504 Taub Loop, Houston, TX, 77030, USA.
⁶ UMRS-942 Inserm, Paris, France.
⁷ Department of Cardiology, Clinical Center of Serbia and Belgrade University School of Medicine, Belgrade, Serbia.
⁸ Nursing Department, Cyprus University of Technology, School of Health Sciences, Limassol, Cyprus.
⁹ Consorci Sanitari Integral, Hospital Sant Joan DespiMoise's Broggi and Hospital General Hospitalet, University of Barcelona, Barcelona, Spain.
¹⁰ Imperial College, London, UK.
¹¹ King's College Hospital, London, UK.
¹² Department of Cardiology, University Hospital Basel, Switzerland.
¹³ School of Medicine, Division of Cardiovascular Medicine, University of Maryland, Baltimore, MD, USA.
¹⁴ Emergency Medicine, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
¹⁵ University of Luebeck, University Hospital of Schleswig-Holstein, Medical Clinic II, Luebeck, Germany.
¹⁶ Heart Failure Unit, Cardiac Dept., Guglielmo da Saliceto Hospital, AUSL Piacenza, Italy.
¹⁷ Cardiology, The Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
¹⁸ ANMCO Resarch Center, Fireze, Italy.
¹⁹ BHF Cardiovascular Research Centre, University of Glasgow, 126 University Place, Glasgow, UK.
²⁰ University of Bergen, Stavanger University Hospital, Bergen, Norway.
²¹ University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
²² Medical Faculty, University of Belgrade, Belgrade, Serbia.
²³ Department of Cardiology, University Medical Center, Belgrade, Serbia.
²⁴ Department of Cardiology, University Heart Center, Rämistrasse 100, Zurich, 8091, Switzerland.
²⁵ Department of Physiology and Cardiothoracic Surgery, Faculty of Medicine, University of Porto, Porto, Portugal.
²⁶ Department of Cardiothoracic Surgery, Centro Hospitalar Sao Joao, Porto, Portugal.
²⁷ Harvard Medical School and Emergency Medicine Department of Beth Israel Deaconess Medical Center, Boston, USA.
²⁸ Faculty of Medicine, University Rennes 1, Rennes, France.
²⁹ Division of Applied Cachexia Research, Department of Cardiology, Charite' Medical School, Berlin, Germany.
³⁰ Division of Innovative Clinical Trials, Department of Cardiology, University Medical Centre Göttingen (UMG), Göttingen, Germany.
³¹ Department of Cardiology, Attikon University Hospital, University of Athens Medical School, Athens, Greece.

PMID: 25999021
DOI: 10.1002/ejhf.289

Abstract

Acute heart failure is a fatal syndrome. Emergency physicians, cardiologists, intensivists, nurses and other health care providers have to cooperate to provide optimal benefit. However, many treatment decisions are opinion-based and few are evidenced-based. This consensus paper provides guidance to practicing physicians and nurses to manage acute heart failure in the pre-hospital and hospital setting. Criteria of hospitalization and of discharge are described. Gaps in knowledge and perspectives in the management of acute heart failure are also detailed. This consensus paper on acute heart failure might help enable contiguous practice.

Keywords: Acute heart failure; cardiogenic shock; diuretics; vasodilators.

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Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine

Affiliations

Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine

Authors

Affiliations

Abstract

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MeSH terms

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LinkOut - more resources

Full Text Sources

Medical