2023 SFMU/GICC-SFC/SFGG expert recommendations for the emergency management of older patients with acute heart failure. Part 2: Therapeutics, pathway of care and ethics

Nicolas Peschanski¹, Florian Zores², Jacques Boddaert³, Bénedicte Douay⁴, Clément Delmas⁵, Amaury Broussier⁶, Delphine Douillet⁷, Emmanuelle Berthelot⁸, Thomas Gilbert⁹, Cédric Gil-Jardiné¹⁰, Vincent Auffret¹¹, Laure Joly¹², Jérémy Guénézan¹³, Michel Galinier⁵, Marion Pépin¹⁴, Pierrick Le Borgne¹⁵, Philippe Le Conte¹⁶, Nicolas Girerd¹⁷, Frédéric Roca¹⁸, Mathieu Oberlin¹⁹, Patrick Jourdain⁸, Geoffroy Rousseau²⁰, Nicolas Lamblin²¹, Barbara Villoing²², Frédéric Mouquet²³, Xavier Dubucs²⁴, François Roubille²⁵, Maxime Jonchier²⁶, Rémi Sabatier²⁷, Saïd Laribi²⁸, Muriel Salvat²⁹, Tahar Chouihed³⁰, Jean-Baptiste Bouillon-Minois³¹, Anthony Chauvin³²; Société française de médecine d’urgence (SFMU); Groupe insuffisance cardiaque et cardiomyopathies de la Société française de cardiologie (GICC-SFC); Société française de gériatrie et gérontologie (SFGG)

Affiliations

¹ Emergency Department, CHU of Rennes, University of Rennes, 35000 Rennes, France. Electronic address: n-peschanski@live.fr.
² GMS Premium, 67000 Strasbourg, France.
³ Department of Geriatrics, Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne University, 75013 Paris, France.
⁴ Emergency Department, Hôpital Cochin, AP-HP, 75014 Paris, France.
⁵ Cardiology A Department, CHU Toulouse Rangueil, Inserm UMR 1048, I2MC, Université Paul Sabatier Toulouse III (UPS), 31000 Toulouse, France.
⁶ Department of Geriatrics, Hôpitaux Henri-Mondor/Émile Roux, AP-HP, Université Paris Est Créteil, Inserm, IMRB, 94456 Limeil-Brevannes, France.
⁷ Emergency Department, CHU Angers, Angers University, MitoVasc, UMR CNRS 6015-Inserm 1083, FCRIN, INNOVTE, 49000 Angers, France.
⁸ Cardiology Department, Hôpital Bicêtre, AP-HP, Université Paris-Saclay, 94270 Le Kremlin-Bicêtre, France.
⁹ Department of Geriatric Medicine, Hospices Civils de Lyon, RESHAPE, Inserm U1290, Université Claude Bernard Lyon 1, 69000 Lyon, France.
¹⁰ Emergency Department, Pellegrin Hospital, CHU Bordeaux, Centre Inserm U1219-EBEP, ISPED, 33000 Bordeaux, France.
¹¹ Cardiology Department, CHU of Rennes, 35000 Rennes, France.
¹² Geriatric Department, CHRU Nancy, Inserm, DCAC, Université de Lorraine, 54000 Vandœuvre-lès-Nancy, France.
¹³ Emergency Department and Pre-Hospital Care, CHU Poitiers, 86000 Poitiers, France.
¹⁴ Department of Geriatrics, Ambroise Paré Hospital, GHU, AP-HP, 92100 Boulogne-Billancourt, France; Clinical Epidemiology Department, University of Paris-Saclay, Inserm, UVSQ, 94800 Villejuif, France.
¹⁵ Service d'Accueil des Urgences, Hôpital de Hautepierre, CHU Strasbourg, 67000 Strasbourg, France.
¹⁶ Emergency Department, CHU Nantes, 44093 Nantes, France.
¹⁷ Cardiology Department, CHRU Nancy, 54000 Vandœuvre-lès-Nancy, France.
¹⁸ Department of Geriatric Medicine, CHU Rouen, Inserm U1096, Normandy University, UNIROUEN, 76000 Rouen, France.
¹⁹ Emergency Department, Groupe Hospitalier Sélestat-Obernai, 67600 Sélestat, France.
²⁰ Emergency Medicine Department, CHRU Tours, 37000 Tours, France.
²¹ Cardiology Department, Hôpital Cardiologique, CHRU Lille, Centre de Compétence de l'Hypertension Artérielle Pulmonaire Sévère, Université Lille Nord de France, 59000 Lille, France.
²² Emergency Department, Hôpitaux Cochin/Hôtel-Dieu, AP-HP, 75014 Paris, France.
²³ Department of Cardiology, Hôpital Privé Le Bois, 59000 Lille, France.
²⁴ Emergency Department, CHU Toulouse, 31000 Toulouse, France.
²⁵ Department of Cardiology, CHU Montpellier, PhyMedExp, Université de Montpellier, Inserm, CNRS, 34295 Montpellier, France.
²⁶ Emergency Department, Groupe Hospitalier Littoral Atlantique, 17019 La Rochelle, France.
²⁷ Cardiovascular Department, CHU Caen-Normandie, University of Caen-Normandie, 14000 Caen, France.
²⁸ Urgences SAMU 37-SMUR de Tours, CHRU Tours, 37000 Tours, France.
²⁹ Department of Cardiology, CHU Grenoble Alpes, 38000 Grenoble, France.
³⁰ Emergency Department, CHU Nancy, Inserm, UMR_S 1116, 54000 Vandœuvre-lès-Nancy, France.
³¹ Emergency Medicine Department, CHU Clermont-Ferrand, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, 63000 Clermont-Ferrand, France.
³² Emergency Department, Hôpital Lariboisière, AP-HP, 75010 Paris, France.

PMID: 39455316
DOI: 10.1016/j.acvd.2024.09.004

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2023 SFMU/GICC-SFC/SFGG expert recommendations for the emergency management of older patients with acute heart failure. Part 2: Therapeutics, pathway of care and ethics

Nicolas Peschanski et al. Arch Cardiovasc Dis. 2025 Jan.

Free article

. 2025 Jan;118(1):6-16.

doi: 10.1016/j.acvd.2024.09.004. Epub 2024 Oct 15.

Authors

Affiliations

¹ Emergency Department, CHU of Rennes, University of Rennes, 35000 Rennes, France. Electronic address: n-peschanski@live.fr.
² GMS Premium, 67000 Strasbourg, France.
³ Department of Geriatrics, Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne University, 75013 Paris, France.
⁴ Emergency Department, Hôpital Cochin, AP-HP, 75014 Paris, France.
⁵ Cardiology A Department, CHU Toulouse Rangueil, Inserm UMR 1048, I2MC, Université Paul Sabatier Toulouse III (UPS), 31000 Toulouse, France.
⁶ Department of Geriatrics, Hôpitaux Henri-Mondor/Émile Roux, AP-HP, Université Paris Est Créteil, Inserm, IMRB, 94456 Limeil-Brevannes, France.
⁷ Emergency Department, CHU Angers, Angers University, MitoVasc, UMR CNRS 6015-Inserm 1083, FCRIN, INNOVTE, 49000 Angers, France.
⁸ Cardiology Department, Hôpital Bicêtre, AP-HP, Université Paris-Saclay, 94270 Le Kremlin-Bicêtre, France.
⁹ Department of Geriatric Medicine, Hospices Civils de Lyon, RESHAPE, Inserm U1290, Université Claude Bernard Lyon 1, 69000 Lyon, France.
¹⁰ Emergency Department, Pellegrin Hospital, CHU Bordeaux, Centre Inserm U1219-EBEP, ISPED, 33000 Bordeaux, France.
¹¹ Cardiology Department, CHU of Rennes, 35000 Rennes, France.
¹² Geriatric Department, CHRU Nancy, Inserm, DCAC, Université de Lorraine, 54000 Vandœuvre-lès-Nancy, France.
¹³ Emergency Department and Pre-Hospital Care, CHU Poitiers, 86000 Poitiers, France.
¹⁴ Department of Geriatrics, Ambroise Paré Hospital, GHU, AP-HP, 92100 Boulogne-Billancourt, France; Clinical Epidemiology Department, University of Paris-Saclay, Inserm, UVSQ, 94800 Villejuif, France.
¹⁵ Service d'Accueil des Urgences, Hôpital de Hautepierre, CHU Strasbourg, 67000 Strasbourg, France.
¹⁶ Emergency Department, CHU Nantes, 44093 Nantes, France.
¹⁷ Cardiology Department, CHRU Nancy, 54000 Vandœuvre-lès-Nancy, France.
¹⁸ Department of Geriatric Medicine, CHU Rouen, Inserm U1096, Normandy University, UNIROUEN, 76000 Rouen, France.
¹⁹ Emergency Department, Groupe Hospitalier Sélestat-Obernai, 67600 Sélestat, France.
²⁰ Emergency Medicine Department, CHRU Tours, 37000 Tours, France.
²¹ Cardiology Department, Hôpital Cardiologique, CHRU Lille, Centre de Compétence de l'Hypertension Artérielle Pulmonaire Sévère, Université Lille Nord de France, 59000 Lille, France.
²² Emergency Department, Hôpitaux Cochin/Hôtel-Dieu, AP-HP, 75014 Paris, France.
²³ Department of Cardiology, Hôpital Privé Le Bois, 59000 Lille, France.
²⁴ Emergency Department, CHU Toulouse, 31000 Toulouse, France.
²⁵ Department of Cardiology, CHU Montpellier, PhyMedExp, Université de Montpellier, Inserm, CNRS, 34295 Montpellier, France.
²⁶ Emergency Department, Groupe Hospitalier Littoral Atlantique, 17019 La Rochelle, France.
²⁷ Cardiovascular Department, CHU Caen-Normandie, University of Caen-Normandie, 14000 Caen, France.
²⁸ Urgences SAMU 37-SMUR de Tours, CHRU Tours, 37000 Tours, France.
²⁹ Department of Cardiology, CHU Grenoble Alpes, 38000 Grenoble, France.
³⁰ Emergency Department, CHU Nancy, Inserm, UMR_S 1116, 54000 Vandœuvre-lès-Nancy, France.
³¹ Emergency Medicine Department, CHU Clermont-Ferrand, Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, 63000 Clermont-Ferrand, France.
³² Emergency Department, Hôpital Lariboisière, AP-HP, 75010 Paris, France.

PMID: 39455316
DOI: 10.1016/j.acvd.2024.09.004

No abstract available

Keywords: Acute heart failure; Diuretics; Non-invasive ventilation; Older; Prehospital.

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2023 SFMU/GICC-SFC/SFGG expert recommendations for the emergency management of older patients with acute heart failure. Part 2: Therapeutics, pathway of care and ethics

Affiliations

2023 SFMU/GICC-SFC/SFGG expert recommendations for the emergency management of older patients with acute heart failure. Part 2: Therapeutics, pathway of care and ethics

Authors

Affiliations

Publication types

LinkOut - more resources

Full Text Sources