• Critical care clinics · Apr 2001

    Review

    Management of acute heart failure exacerbation.

    • W Kao and B P Surjancev.
    • Rush Heart Failure and Cardiac Transplant Program, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, USA.
    • Crit Care Clin. 2001 Apr 1; 17 (2): 321-35.

    AbstractPatients with decompensated heart failure should be managed in an aggressive and proactive manner, using predominantly hemodynamic and end-organ function goals. This management is in contrast to the chronic maintenance therapy of patients with heart failure, where a neuroendocrine approach is indicated. Underlying anatomic targets for intervention should be sought aggressively and addressed. Patients who prove resistant to standard measures should be considered for early referral to heart transplant centers for more definitive measures, including evaluation for heart transplantation and mechanical circulatory support if necessary.

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