Pre-discharge and early post-discharge management of patients hospitalized for acute heart failure: A scientific statement by the Heart Failure Association of the ESCUniv Hosp Germans Trias i Pujol, Spain; Univ Hosp Germans Trias i Pujol, Spain; Univ Autonoma Barcelona, Spain; Inst Salud Carlos III, Spain.
Cairo Univ, Egypt.
Onassis Cardiac Surg Ctr, Greece.
Charite Univ Me Berlin, Germany; Berlin Inst Hlth Ctr Regenerat Therapies BCRT, Germany; Charite Univ Med Berlin, Germany.
Hannover Med Sch, Germany.
Lomonosv Moscow State Univ, Russia.
Saarland Univ Hosp, Germany.
Tel Aviv Univ, Israel.
Baylor Scott & White Res Inst, TX USA; Univ Mississippi, MS USA.
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Natl & Kapodistrian Univ Athens, Greece.
Copenhagen Univ Hosp, Denmark.
Queens Univ Belfast, North Ireland.
Wroclaw Med Univ, Poland.
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Volgograd State Med Univ, Russia.
Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden.
Kings Coll London, England.
Massachusetts Gen Hosp, MA USA; Baim Inst Clin Res, MA USA.
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Hosp Oost Limburg, Belgium.
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Sci Res Inst Cardiol & Internal Med, Kazakhstan.
Univ Belgrade, Serbia.
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Univ Belgrade, Serbia; Serbian Acad Arts & Sci, Serbia.
St Georges Hosp NHS Trust Univ London, England.
Hannover Med Sch, Germany; Hannover Med Sch, Germany; Fraunhofer Inst Toxicol & Expt Med, Germany.
Univ Naples Federico II, Italy.
German Ctr Cardiovasc Res DZHK, Germany; Charite Univ Med Berlin, Germany.
IRCCS San Raffaele Pisana, Italy.
Georg August Univ, Germany; German Ctr Cardiovasc Res DZHK, Germany.
IRCCS San Raffaele Pisana, Italy.
Univ Warwick Coventry, England.
Univ Med & Pharm Carol Davila, Romania.
St Georges Hosp NHS Trust Univ London, England; IRCCS San Raffaele Pisana, Italy.
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2023 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 25, no 7, p. 1115-1131Article in journal (Refereed) Published
Abstract [en]
Acute heart failure is a major cause of urgent hospitalizations. These are followed by marked increases in death and rehospitalization rates, which then decline exponentially though they remain higher than in patients without a recent hospitalization. Therefore, optimal management of patients with acute heart failure before discharge and in the early post-discharge phase is critical. First, it may prevent rehospitalizations through the early detection and effective treatment of residual or recurrent congestion, the main manifestation of decompensation. Second, initiation at pre-discharge and titration to target doses in the early post-discharge period, of guideline-directed medical therapy may improve both short- and long-term outcomes. Third, in chronic heart failure, medical treatment is often left unchanged, so the acute heart failure hospitalization presents an opportunity for implementation of therapy. The aim of this scientific statement by the Heart Failure Association of the European Society of Cardiology is to summarize recent findings that have implications for clinical management both in the pre-discharge and the early post-discharge phase after a hospitalization for acute heart failure.
Place, publisher, year, edition, pages
WILEY , 2023. Vol. 25, no 7, p. 1115-1131
Keywords [en]
Acute heart failure; Pre-discharge; Early post-discharge; Management; Prognosis
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:liu:diva-196669DOI: 10.1002/ejhf.2888ISI: 001030450700001PubMedID: 37448210Scopus ID: 2-s2.0-85165204687OAI: oai:DiVA.org:liu-196669DiVA, id: diva2:1789168
2023-08-182023-08-182024-03-20