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Comprehensive in‐hospital monitoring in acute heart failure: applications for clinical practice and future directions for research. A statement from the Acute Heart Failure Committee of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC)

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Title
Comprehensive in‐hospital monitoring in acute heart failure: applications for clinical practice and future directions for research. A statement from the Acute Heart Failure Committee of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC)
Author(s)
Harjola, Veli-Pekka
Parissis, John
Brunner-La Rocca, Hans-Peter
Celutkiené, Jelena
Chioncel, Ovidiu
Collins, Sean P.
De Backer, Daniel
Filippatos, Gerasimos
Gayat, Etienne
Hill, Loreena
Lainscak, Mitja
Lassus, Johan
Masip, Josep
Mebazaa, Alexandre
Miró, Óscar
Mortara, Andrea
Mueller, Christian
Mullens, Wilfried
Nieminen, Markku S.
Rudiger, Alain
Ruschitzka, Frank
Seferovic, Petar M.
Sionis, Alessandro
Vieillard-Baron, Antoine
Weinstein, Jean Marc
Boer, Rudolf de
Crespo-Leiro, María Generosa
Piepoli, Massimo Francesco
Riley, Jillian P.
Date
2018
Citation
Harjola VP, Parissis J, Brunner-La Rocca HP, Celutkiene J, Chioncel O, Collins SP, et al. Comprehensive in‐hospital monitoring in acute heart failure: applications for clinical practice and future directions for research. A statement from the Acute Heart Failure Committee of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC). Eur J Heart Fail. 2018;20(7):1081-1099
Abstract
[Abstract] This paper provides a practical clinical application of guideline recommendations relating to the inpatient monitoring of patients with acute heart failure, through the evaluation of various clinical, biomarker, imaging, invasive and non‐invasive approaches. Comprehensive inpatient monitoring is crucial to the optimal management of acute heart failure patients. The European Society of Cardiology heart failure guidelines provide recommendations for the inpatient monitoring of acute heart failure, but the level of evidence underpinning most recommendations is limited. Many tools are available for the in‐hospital monitoring of patients with acute heart failure, and each plays a role at various points throughout the patient's treatment course, including the emergency department, intensive care or coronary care unit, and the general ward. Clinical judgment is the preeminent factor guiding application of inpatient monitoring tools, as the various techniques have different patient population targets. When applied appropriately, these techniques enable decision making. However, there is limited evidence demonstrating that implementation of these tools improves patient outcome. Research priorities are identified to address these gaps in evidence. Future research initiatives should aim to identify the optimal in‐hospital monitoring strategies that decrease morbidity and prolong survival in patients with acute heart failure.
Keywords
Heart failure
Monitoring physiologic
Inpatients
 
Editor version
https://doi.org/10.1002/ejhf.1204
Rights
This is the peer reviewed version of the article which has been published in final form at Wiley Online Library. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving
ISSN
1388-9842
1879-0844
 

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