2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.

https://caltcm.memberclicks.net/assets/documents/acc_aha_chf_2013_guidelines.pdf

2013 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

ACC/AHA
: American College of Cardiology/American Heart Association
ACCF/AHA
: American College of Cardiology Foundation/American Heart Association
ACE
: angiotensin-converting enzyme
ACEI
: angiotensin-converting enzyme inhibitor
ACS
: acute coronary syndrome
AF
: atrial fibrillation

/pdf/2016-esc-guidelines-for-the-diagnosis-and-treatment-of-acute-z18hg30pp1.pdf

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

/pdf/2016-esc-guidelines-for-the-diagnosis-and-treatment-of-acute-53v7yllhiz.pdf

In the current ESC guidelines for the management of heart failure,1 Dickstein et al. for the first time integrate B-type natriuretic peptides into a concrete diagnostic algorithm for patients with suspected first presentation of chronic heart failure. Patient presentation in this case most probably happens in primary care. Therefore, it seems uncommon that natriuretic peptides are …

/pdf/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-6gtpbmes1h.pdf

ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: application of natriuretic peptides

Importance of Venous Congestion for Worsening of Renal Function in Advanced Decompensated Heart Failure

Elevated Intra-Abdominal Pressure in Acute Decompensated Heart Failure: A Potential Contributor to Worsening Renal Function?

Sodium Nitroprusside for Advanced Low-Output Heart Failure

Prompt Reduction in Intra-Abdominal Pressure Following Large-Volume Mechanical Fluid Removal Improves Renal Insufficiency in Refractory Decompensated Heart Failure

Background— Right ventricular (RV) dysfunction frequently occurs and independently prognosticates in left-sided heart failure. It is not clear which RV afterload measure has the greatest impact on RV function and prognosis. We examined the determinants, prognostic role, and response to treatment of pulmonary arterial capacitance (PAC, ratio of stroke volume over pulmonary pulse pressure), in relation to pulmonary vascular resistance (PVR) in heart failure.

Methods and Results— We reviewed 724 consecutive patients with heart failure who underwent right heart catheterization between 2000 and 2005. Changes in PAC were explored in an independent cohort of 75 subjects treated for acute decompensated heart failure. PAC showed a strong inverse relation with PVR ( r =−0.64) and wedge pressure ( r =−0.73), and provides stronger prediction of significant RV failure than PVR (area under the curve ROC 0.74 versus 0.67, respectively, P =0.003). During a mean follow-up of 3.2±2.2 years, both lower PAC ( P <0.0001) and higher PVR ( P <0.0001) portend more adverse clinical events (all-cause mortality and cardiac transplantation). In multivariate analysis, PAC (but not PVR) remains an independent predictor (Hazard ratio=0.92 [95% CI: 0.84–1.0, P =0.037]). Treatment of heart failure resulted in a decrease in PVR (270±165 to 211±88 dynes·s–1·cm–5, P =0.002), a larger increase in PAC (1.65±0.64 to 2.61±1.42 mL/mm Hg, P <0.0001), leading to an increase in pulmonary arterial time constant (PVR×PAC) (0.29±0.12 to 0.37±0.15 second, P <0.0001).

Conclusions— PAC bundles the effects of PVR and left-sided filling pressures on RV afterload, explaining its strong relation with RV dysfunction, poor long-term prognosis, and response to therapy.

/pdf/prognostic-role-of-pulmonary-arterial-capacitance-in-2s7zxdzbow.pdf

Zuheir Abrahams

Papers

Importance of Venous Congestion for Worsening of Renal Function in Advanced Decompensated Heart Failure

Elevated Intra-Abdominal Pressure in Acute Decompensated Heart Failure: A Potential Contributor to Worsening Renal Function?

Sodium Nitroprusside for Advanced Low-Output Heart Failure

Prompt Reduction in Intra-Abdominal Pressure Following Large-Volume Mechanical Fluid Removal Improves Renal Insufficiency in Refractory Decompensated Heart Failure

Prognostic Role of Pulmonary Arterial Capacitance in Advanced Heart Failure