title: [Guideline 7. Intensive treatment of unstable heart failure. Indications for heart transplantation].
abstract: Unstable heart failure is defined as class IV cardiac failure with symptoms that do not respond to empiric treatment, which causes hypotension, renal failure, hyponatremia and/or symptomatic ventricular arrhythmias. It may be reversible or refractory. Refractory or "end-stage" heart failure is an indication for heart transplant, provided that: a) all reversible ethiologic factors have been corrected; and b) aggressive treatment in the intensive care unit under hemodynamic monitoring has not been able to stabilize heart failure.
authors.affiliation: Servicio de Cardiología, Hospital Clínic i Provincial, Universidad de Barcelona.
authors.forename: F
authors.initials: F
authors.lastname: Navarro-López
authors.forename: E
authors.initials: E
authors.lastname: de Teresa
authors.forename: J L
authors.initials: JL
authors.lastname: López-Sendón
authors.forename: A
authors.initials: A
authors.lastname: Castro-Beiras
mesh_terms: D002985:Clinical Protocols; D003422:Critical Care; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans
vernacular_title: Guía 7. Tratamiento intensivo de la insuficiencia cardíaca inestable. Indicaciones del trasplante cardíaco.