Challenges in acute heart failure clinical management: optimizing care despite incomplete evidence and imperfect drugs.
Crit Pathw Cardiol
; 14(1): 12-24, 2015 Mar.
Article
en En
| MEDLINE
| ID: mdl-25679083
ABSTRACT
Acute heart failure is a common condition associated with considerable morbidity, mortality, and cost. However, evidence-based data on treating heart failure in the acute setting are limited, and current individual treatment options have variable efficacy. The healthcare team must often individualize patient care in ways that may extend beyond available clinical guidelines. In this review, we address the question, "How do you do the best you can clinically with incomplete evidence and imperfect drugs?" Expert opinion is provided to supplement guideline-based recommendations and help address the typical challenges that are involved in the management of patients with acute heart failure. Specifically, we discuss 4 key areas that are important in the continuum of patient care differential diagnosis and risk stratification; choice and implementation of initial therapy; assessment of the adequacy of therapy during hospitalization or observation; and considerations for discharge/transition of care. A case study is presented to highlight the decision-making process throughout each of these areas. Evidence is accumulating that should help guide patients and healthcare providers on a path to better quality of care.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Grupo de Atención al Paciente
/
Garantía de la Calidad de Atención de Salud
/
Fármacos Cardiovasculares
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Manejo de la Enfermedad
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Insuficiencia Cardíaca
Tipo de estudio:
Guideline
/
Prognostic_studies
Límite:
Aged
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Female
/
Humans
Idioma:
En
Revista:
Crit Pathw Cardiol
Asunto de la revista:
CARDIOLOGIA
Año:
2015
Tipo del documento:
Article
País de afiliación:
Túnez