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Pre-discharge and early post-discharge management of patients hospitalized for acute heart failure: A scientific statement by the Heart Failure Association of the ESC
Univ Brescia, Italy.
Univ Brescia, Italy; Univ Brescia, Italy.
Univ Brescia, Italy.
Univ Paris Cite, France.
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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
Available from: 2023-08-18 Created: 2023-08-18 Last updated: 2024-03-20

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