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Review
. 2020 Aug;26(4):386-391.
doi: 10.1097/MCC.0000000000000740.

How to assess the severity of heart failure?

Nitin Kabra  1 , Howard A Cooper, Srihari S Naidu
Affiliations
Review

How to assess the severity of heart failure?

Nitin Kabra et al. Curr Opin Crit Care. 2020 Aug.

Abstract

Purpose of review: Mortality rates for acute decompensated heart failure and cardiogenic shock remain unacceptably high despite advances in medical therapy and mechanical circulatory support. Systems designed to quickly and accurately identify and risk stratify these patients are needed in order to improve survival.

Recent findings: The Society for Cardiovascular Angiography and Interventions developed an expert consensus statement aimed at early identification and assessment of patients with advanced heart failure and cardiogenic shock. Recent studies have validated this novel classification system within several large patient cohorts.

Summary: Assessing the severity of heart failure is a critical step in enabling the targeting of appropriate therapies to the appropriate patients. A novel classification system allows for accurate and reproducible identification and risk stratification.

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References

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    1. Vahdatpour C, Collins D, Goldberg S. Cardiogenic shock. J Am Heart Assoc 2019; 8:e011991.
    1. Jones TL, Nakamura K, McCabe JM. Cardiogenic shock: evolving definitions and future directions in management. Open Heart 2019; 6:e000960.
    1. van Diepen S, Katz JN, Albert NM, et al. contemporary management of cardiogenic shock: a scientific statement from the American Heart Association. Circulation 2017; 136:e232–e268.
    1. Kurmani S, Squire I. Acute heart failure: definition, classification and epidemiology. Curr Heart Fail Rep 2017; 14:385–392.

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