The Challenges of Diagnostic and Management of Acute Heart Failure From Hemodynamic Subset to Appropriate Treatment

I Gede Sumantra

Abstract


Acute heart failure (AHF) is a common and growing medical problem associated with major morbidity and mortality. Despite the high prevalence of this condition and its associated major morbidity and mortality, diagnosis can be difficult, and optimal treatment remains poorly defined. Identification of the acute triggers for the decompensation as well as characterization of cardiac filling pressures and output is central to management. Evaluation of patients with Heart Failure (HF) is critical for the appropriate selection and monitoring of therapy as well as for the prevention of recurrent hospitalizations.Diagnostic and management AHF is a challenge because of the heterogeneity of the patient population, the existence of a universal definition of understanding, not understanding the pathophysiology, and the lack of bases guideline Evidence-based medicine


Keywords


acute heart failure, AHF, diagnostic and management

Full Text:

PDF

References


Maggioni, A.P. Review of the new ESC guidelines for the pharmacological management of chronic heart failure. European Heart Journal Supplements. 2005. 7 (Suppl) : J15-J20.

Hess, O.M and Carrol J.D. Clinical Assessment of Heart Failure. In: Libby P., Bonow R.O., Mann D.L., Zipes D.P., editor. Braunwald’s HeartDisease. Philadelphia. Saunders. 2007. p. 561-80.

Darmojo, B. Penyakit Kardiovaskuler pada Lanjut Usia. Dalam : Darmojo B, Martono HH, editor. Buku Ajar Geriatri. Jakarta : Balai Penerbit FK UI. 2004. Halaman : 262-264.

Felker, G.M. and Mentz R.J. Diuretics and Ultrafiltration in Acute Decompensated Heart Failure. JAm Coll Cardiol. 2012. 59 : 2145-2153.

Hardiman, A. Departemen Kesehatan Republik Indonesia. Pedoman Pengendalian Penyakit Jantung dan Pembuluh Darah. Jakart a: Departemen Kesehatan RI. 2007. Halaman : 2-9.

Nohria, A, Meilniczuk L.M., and Stevenson L.W. Evaluation and Monitoring of Patients with Acute Heart Failure Syndromes. Am J Cardiol. 2005. 96, suppl : 32G-40G.

Gheorghiade, M., Follath F., Ponikowski P., Barsuk J.H., Blair J.E., et al. Assessing and grading congestion in acute heart failure; a scientific statement from the Acute Heart Failure Committee of the Heart Fasilures Association of the European Society of Cardiology and endorsed by the European Society of Intensive Care Medicine. European Journal of Heart Failure. 2009. 12 : 423-433.

Clyde, W. ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013. 128 : e240-e327.

Markku, S.N., M. Bowie., M.R. Cowie, H. Drexler, G.S. Filippatos, et al. Executive Summary of the Guidelines on the Diagnosis and Treatment of Acute Heart Failure. European Heart Journal. 2005. 26 : 384-416.

Joseph, S.M., A.M. Cedars, G.A. Ewald, E.M. Geltman, and DL. Mann. Acute Decompesated Heart Failure Contemporary Medical Management. Tex Heart Inst J. 2009. 36(6) : 510-520.

Stevenson, L.W. Design of therapy for Advanced Heart Failure. The European Journal of Heart Failure. 2005. 7 : 323-331.

Forrester, J.S, Diamond G., Chatterjee K., and Swan H.J. Medical Therapy of Acute Myocardial Infarction by Application of Hemodyanamic subsets (second of two parts). N Engl J Med. 1976. 295 : 1404-1413.

Nohria, A., S.W. Tsang, J.C. Fang, E.F. Lewis, J.A. Jarco, Mudge GH, and Stevenson LW. Clinical Assessment Idintifies Hemodyanamic Profiles That Predict Outcomes in Patients Admitted with Heart Failure. J Am Coll Cardiol. 2003. 41 : 1797-1804.

Gheorghiade, M., F. Zannad., G. Sopko, L. Klein, I.L. Pina, M.A. Konstam, et al. Acute Heart Failure Syndromes: Current State and Framework for Future Research. Circulation. 2005. 112 : 3958-3968.

McMurray, J.J.V. et al. ESC Guidlanes for diagnosis and treatment of Acute and Chronic Heart Failure. European Heart Journal. 2012.




DOI: http://dx.doi.org/10.30742/jikw.v3i2.19

Refbacks

  • There are currently no refbacks.


Copyright (c) 2014 I Gede Sumantra

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Jurnal Ilmiah Kedokteran Wijaya Kusuma is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License