title: An update in the management of acute decompensated heart failure.
abstract: OBJECTIVE
  This review will provide an overview of recent advances in the management of acute decompensated heart failure, focusing on major publications from the past few years.
  
  
  RESULTS
  There have been several publications investigating different strategies in the management of acute decompensated heart failure. Trials have investigated the role of ultrafiltration, diuretic infusions and recombinant B-type natriuretic peptide for the treatment of these patients.
  
  
  CONCLUSIONS
  In patients with acute decompensated heart failure, the use of ultrafiltration in place of diuretics, diuretic infusions, and B-type natriuretic peptide has not shown benefit in recent trials. Unfortunately, there have been no major advances in the management of patients with acute decompensated heart failure.
authors.affiliation: Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors.forename: Ronnen
authors.initials: R
authors.lastname: Maze
authors.forename: Haissam
authors.initials: H
authors.lastname: Haddad
mesh_terms: D000208:Acute Disease; D004232:Diuretics / Q000627:therapeutic use; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D020097:Natriuretic Peptide, Brain / Q000627:therapeutic use; D014462:Ultrafiltration
chemical_list: D004232:Diuretics; D020097:Natriuretic Peptide, Brain