title: Managing acute decompensated heart failure.
abstract: Acute decompensated heart failure may occur de novo, but it most often occurs as an exacerbation of underlying chronic heart failure. Hospitalization for heart failure is usually a harbinger of a chronic disease that will require long-term, ongoing medical management. Leaders in the field generally agree that repeated inpatient admissions for treatment reflect a failure of the health care delivery system to manage the disease optimally. Newer management strategies focus on ameliorating symptoms by optimizing the hemodynamics, restoring neurohormonal balance, and making frequent outpatient adjustments when needed.
authors.affiliation: Section of Cardiology, Department of Medicine, Truman Medical Centers, School of Medicine, University of Missouri Kansas City, 2301 Holmes Street, Kansas City, MO 64108, USA. Electronic address: paulydf@tmcmed.org.
authors.forename: Daniel F
authors.initials: DF
authors.lastname: Pauly
mesh_terms: D000208:Acute Disease; D002316:Cardiotonic Agents / Q000627:therapeutic use; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D018670:Monitoring, Ambulatory / Q000379:methods / Q000639:trends; D012648:Self Care / Q000379:methods
chemical_list: D002316:Cardiotonic Agents
keywords: Cardiomyopathy; Heart failure; Hospitalizations; Myocardial infarction