[What is new in the medical management of acute heart failure?].
Acute heart failure (AHF) is a frequent medical condition associated with a poor prognosis. Based on systolic blood pressure at presentation, patients with AHF can be classified into 5 clinical profiles enabling a more targeted use of standard medications including diuretics, vasodilators and inotropes. The most recent guidelines underline the importance of a rapid management and the favorable impact of heart failure programs, which reduce morbidity and mortality after an admission for AHF. New therapeutic perspectives include ultrafiltration, vasopressin and adenosine antagonists, relaxin and new inotropes such as istaroxime.
Meyer
P
P
Service de cardiologie, Département de médecine interne, HUG, Genève. philippe.meyer@hcuge.ch
White
M
M
Keller
R F
RF
Lerch
R
R
Hullin
R
R
D000208:Acute Disease; D000241:Adenosine / Q000037:antagonists & inhibitors; D000465:Algorithms; D002316:Cardiotonic Agents / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005043:Etiocholanolone / Q000031:analogs & derivatives / Q000627:therapeutic use; D006333:Heart Failure / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000628:therapy*; D017583:Hemodiafiltration; D006801:Humans; D010102:Oxygen Inhalation Therapy; D017410:Practice Guidelines as Topic; D011379:Prognosis; D012065:Relaxin / Q000627:therapeutic use; D012307:Risk Factors; D016896:Treatment Outcome; D014662:Vasoconstrictor Agents / Q000037:antagonists & inhibitors; D014665:Vasodilator Agents / Q000627:therapeutic use; D014667:Vasopressins / Q000037:antagonists & inhibitors
D002316:Cardiotonic Agents; D004232:Diuretics; D014662:Vasoconstrictor Agents; D014665:Vasodilator Agents; D014667:Vasopressins; D012065:Relaxin; D005043:Etiocholanolone; D000241:Adenosine; C468128:Istaroxime