Acute Heart Failure in the 2021 ESC Heart Failure Guidelines: a scientific statement from the Association for Acute CardioVascular Care (ACVC) of the European Society of Cardiology.

Abstract

The current European Society of Cardiology (ESC) Heart Failure Guidelines are the most comprehensive ESC document covering heart failure to date; however, the section focused on acute heart failure remains relatively too concise. Although several topics are more extensively covered than in previous versions, including some specific therapies, monitoring and disposition in the hospital, and the management of cardiogenic shock, the lack of high-quality evidence in acute, emergency, and critical care scenarios, poses a challenge for providing evidence-based recommendations, in particular when by comparison the data for chronic heart failure is so extensive. The paucity of evidence and specific recommendations for the general approach and management of acute heart failure in the emergency department is particularly relevant, because this is the setting where most acute heart failure patients are initially diagnosed and stabilized. The clinical phenotypes proposed are comprehensive, clinically relevant and with minimal overlap, whilst providing additional opportunity for discussion around respiratory failure and hypoperfusion.

• Authors: Josep Masip, W Frank Peacok, Mattia Arrigo, Xavier Rossello, Elke Platz, Louise Cullen, Alexandre Mebazaa, Susanna Price, Héctor Bueno, Salvatore Di Somma, Mucio Tavares, Martin R Cowie, Alan Maisel, Christian Mueller, Òsar Miró, Acute Heart Failure Study Group of the Association for Acute Cardiovascular Care (ACVC) of the European Society of Cardiology
• Journal: European heart journal. Acute cardiovascular care (Eur Heart J Acute Cardiovasc Care) Vol. 11 Issue 2 Pg. 173-185 (Feb 08 2022) ISSN: 2048-8734 [Electronic] England
• PMID: 35040931 (Publication Type: Journal Article)
• Copyright: Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2022. For permissions, please email: [email protected].

Topics

• Cardiology
• Critical Care
• Heart Failure (diagnosis, therapy)
• Humans
• Shock, Cardiogenic (diagnosis, therapy)