| Current ESC/ESICM and ACCF/AHA guidelines for the diagnosis and management of acute heart failure in adults--are there differences? | |
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MedLine Citation:
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PMID: 19776702 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There are many similarities between the recommendations of the European and American societies (i.e., the European Society of Cardiology, the European Society of Intensive Care Medicine, the North American College of Cardiology, and the American Heart Association) on the management of acute heart failure (AHF). There is a consensus that the symptoms of AHF should be relieved as rapidly as possible, which requires combining oxygen, noninvasive ventilation, vasodilators, and diuretics. There is also a consensus that long-lasting oral treatments such as beta-blockers and angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers should be administered to patients unless they are hemodynamically unstable. The diagnosis of AHF is based on clinical signs. However, electrocardiography and chest X-ray should be performed in all AHF patients. Natriuretic peptides should be measured in doubtful cases to either confirm or exclude the diagnosis of AHF. Echocardiography should be promptly performed by cardiologists. Because a unanimous consensus between European and North American societies has now been reached, the next step is to apply the guidelines in all medical units worldwide in order to minimize morbidity and mortality of AHF patients. |
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Authors:
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Alexandre Mebazaa |
Publication Detail:
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Type: Comparative Study; Journal Article; Review |
Journal Detail:
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Title: Polskie Archiwum Medycyny Wewn?trznej Volume: 119 ISSN: 0032-3772 ISO Abbreviation: Pol. Arch. Med. Wewn. Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-09-24 Completed Date: 2009-11-06 Revised Date: 2010-04-01 |
Medline Journal Info:
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Nlm Unique ID: 0401225 Medline TA: Pol Arch Med Wewn Country: Poland |
Other Details:
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Languages: eng Pagination: 569-73 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Critical Care and SAMU, Lariboisi?re Hospital, University Paris 7, Paris, France. alexandre.mebazaa@lrb.aphp.fr |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Algorithms Cardiopulmonary Resuscitation / standards Cardiotonic Agents / therapeutic use Electrocardiography European Union Fibrinolytic Agents / therapeutic use Heart Failure / diagnosis*, prevention & control, therapy* Humans Oxygen Inhalation Therapy / standards Practice Guidelines as Topic / standards* Societies, Medical United States Vasodilator Agents / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Cardiotonic Agents; 0/Fibrinolytic Agents; 0/Vasodilator Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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