'Acute Heart Failure': Should We Abandon the Term Altogether?
Acute heart failure
Decompensation
Diuretics
Guideline-directed medical therapy
Journal
Current heart failure reports
ISSN: 1546-9549
Titre abrégé: Curr Heart Fail Rep
Pays: United States
ID NLM: 101196487
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
accepted:
10
08
2022
pubmed:
28
9
2022
medline:
16
11
2022
entrez:
27
9
2022
Statut:
ppublish
Résumé
The distinction between 'acute' and 'chronic' heart failure persists. Our review aims to explore whether reclassifying heart failure decompensation more accurately as an event within the natural history of chronic heart failure has the potential to improve outcomes. Although hospitalisation for worsening heart failure confers a poor prognosis, much of this reflects chronic disease severity. Most patients survive hospitalisation with most deaths occurring in the post-discharge 'vulnerable phase'. Current evidence supports four classes of medications proven to reduce cardiovascular mortality for those who have heart failure with a reduced ejection fraction, with recent trials suggesting worsening heart failure events are opportunities to optimise these therapies. Abandoning the term 'acute heart failure' has the potential to give greater priority to initiating proven pharmacological and device therapies during decompensation episodes, in order to improve outcomes for those who are at the greatest risk.
Identifiants
pubmed: 36166184
doi: 10.1007/s11897-022-00576-9
pii: 10.1007/s11897-022-00576-9
pmc: PMC9513308
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
425-434Informations de copyright
© 2022. The Author(s).
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