Improving Postdischarge Outcomes in Acute Heart Failure
Year: 2018
Type: review
Abstract: The global burden that acute heart failure (AHF) carries has remained unchanged over the past several decades (1). European registries (2–5) showed that 1-year outcome rates remain unacceptably high (Table 1) and confirm that hospitalization for AHF represents a change in the natural history of the disease process(6). As patients hospitalized for HF have a bad prognosis, it is crucial to utilize hospitalization as an opportunity to: 1) assess the individual components of the cardiac substrate; 2) identify and treat comorbidities; 3) identify early, safe endpoints of therapy to facilitate timely hospital discharge and outpatient follow-up; and 4) implement and begin optimization guideline-directed medical therapies (GDMTs). As outcomes are influenced by many factors, many of which are incompletely understood, a systematic approach is proposed that should start with admission and continues through post-discharge (7).
Source: American Journal of Therapeutics
Institutions: Carol Davila University of Medicine and Pharmacy, Institutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu", Vanderbilt University, Duke Medical Center, Duke Clinical Research Institute, Indiana University School of Medicine, European Society of Cardiology, Associazione Nazionale Medici Cardiologi Ospedalieri, University of Mississippi, Inserm, Assistance Publique – Hôpitaux de Paris, Université Paris Diderot, Marqueurs cardiovasculaires en situation de stress
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2813588994