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Published January 1, 2015 | Version v1
Journal article Open

Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine

Creators

  • 1. Univ Paris Diderot, Lariboisiere St Louis Univ Hosp, AP HP, Sorbonne Paris Cite, Paris, France
  • 2. Cumhuriyet Univ, Fac Med, Dept Cardiol, TR-58140 Sivas, Turkey
  • 3. Wroclaw Med Univ, Mil Hosp 4, PL-50981 Wroclaw, Poland
  • 4. Ben Taub Gen Hosp, Baylor Coll Med, Houston, TX 77030 USA
  • 5. INSERM, UMRS 942, Paris, France
  • 6. Cyprus Univ Technol, Sch Hlth Sci, Dept Nursing, Limassol, Cyprus
  • 7. Univ London Imperial Coll Sci Technol & Med, London, England
  • 8. Kings Coll Hosp London, London, England
  • 9. Univ Basel Hosp, Dept Cardiol, CH-4031 Basel, Switzerland
  • 10. Univ Maryland, Sch Med, Div Cardiovasc Med, Baltimore, MD 21201 USA
  • 11. Univ Helsinki, Helsinki Univ Hosp, Emergency Med, Helsinki, Finland
  • 12. Med Univ Lubeck, Univ Hosp Schleswig Holstein, Med Clin 2, D-23538 Lubeck, Germany
  • 13. AUSL Piacenza, Guglielmo da Saliceto Hosp, Dept Cardiac, Heart Failure Unit, Piacenza, Italy
  • 14. Univ Brescia, Dept Med & Surg Specialties Radiol Sci & Publ Hlt, Cardiol, Brescia, Italy
  • 15. ANMCO Resarch Ctr, Fireze, Italy
  • 16. Univ Glasgow, BHF Cardiovasc Res Ctr, Glasgow, Lanark, Scotland
  • 17. Univ Bergen, Stavanger Univ Hosp, Bergen, Norway

Description

Acute heart failure is a fatal syndrome. Emergency physicians, cardiologists, intensivists, nurses and other health care providers have to cooperate to provide optimal benefit. However, many treatment decisions are opinion-based and few are evidenced-based. This consensus paper provides guidance to practicing physicians and nurses to manage acute heart failure in the pre-hospital and hospital setting. Criteria of hospitalization and of discharge are described. Gaps in knowledge and perspectives in the management of acute heart failure are also detailed. This consensus paper on acute heart failure might help enable contiguous practice.

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