title: Recommendations on pre-hospital & early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine.
abstract: Acute heart failure is a fatal syndrome. Emergency physicians, cardiologists, intensivists, nurses and other health care providers have to cooperate to provide optimal benefit. However, many treatment decisions are opinion-based and few are evidenced-based. This consensus paper provides guidance to practicing physicians and nurses to manage acute heart failure in the pre-hospital and hospital setting. Criteria of hospitalization and of discharge are described. Gaps in knowledge and perspectives in the management of acute heart failure are also detailed. This consensus paper on acute heart failure might help enable contiguous practice.
authors.affiliation: University Paris Diderot, Sorbonne Paris Cité; APHP, Lariboisière Saint Louis University Hospitals, Paris, France.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Mebazaa
authors.affiliation: Department of Cardiology, Cumhuriyet University Faculty of Medicine, Sivas, 58140, Turkey.
authors.forename: M Birhan
authors.initials: MB
authors.lastname: Yilmaz
authors.affiliation: Department of Emergency Medicine and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, USA.
authors.forename: Phillip
authors.initials: P
authors.lastname: Levy
authors.affiliation: Wroclaw Medical University, 4th Military Hospital, Weigla 5, Wroclaw, 50-981, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Ponikowski
authors.affiliation: Baylor College of Medicine, Ben Taub General Hospital, 1504 Taub Loop, Houston, TX, 77030, USA.
authors.forename: W Frank
authors.initials: WF
authors.lastname: Peacock
authors.affiliation: UMRS-942 Inserm, Paris, France.
authors.forename: Said
authors.initials: S
authors.lastname: Laribi
authors.affiliation: Department of Cardiology, Clinical Center of Serbia and Belgrade University School of Medicine, Belgrade, Serbia.
authors.forename: Arsen D
authors.initials: AD
authors.lastname: Ristic
authors.affiliation: Nursing Department, Cyprus University of Technology, School of Health Sciences, Limassol, Cyprus.
authors.forename: Ekaterini
authors.initials: E
authors.lastname: Lambrinou
authors.affiliation: Consorci Sanitari Integral, Hospital Sant Joan DespiMoise's Broggi and Hospital General Hospitalet, University of Barcelona, Barcelona, Spain.
authors.forename: Josep
authors.initials: J
authors.lastname: Masip
authors.affiliation: Imperial College, London, UK.
authors.forename: Jillian P
authors.initials: JP
authors.lastname: Riley
authors.affiliation: King's College Hospital, London, UK.
authors.forename: Theresa
authors.initials: T
authors.lastname: McDonagh
authors.affiliation: Department of Cardiology, University Hospital Basel, Switzerland.
authors.forename: Christian
authors.initials: C
authors.lastname: Mueller
authors.affiliation: School of Medicine, Division of Cardiovascular Medicine, University of Maryland, Baltimore, MD, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: deFilippi
authors.affiliation: Emergency Medicine, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
authors.forename: Veli-Pekka
authors.initials: VP
authors.lastname: Harjola
authors.affiliation: University of Luebeck, University Hospital of Schleswig-Holstein, Medical Clinic II, Luebeck, Germany.
authors.forename: Holger
authors.initials: H
authors.lastname: Thiele
authors.affiliation: Heart Failure Unit, Cardiac Dept., Guglielmo da Saliceto Hospital, AUSL Piacenza, Italy.
authors.forename: Massimo F
authors.initials: MF
authors.lastname: Piepoli
authors.affiliation: Cardiology, The Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Metra
authors.affiliation: ANMCO Resarch Center, Fireze, Italy.
authors.forename: Aldo
authors.initials: A
authors.lastname: Maggioni
authors.affiliation: BHF Cardiovascular Research Centre, University of Glasgow, 126 University Place, Glasgow, UK.
authors.forename: John
authors.initials: J
authors.lastname: McMurray
authors.affiliation: University of Bergen, Stavanger University Hospital, Bergen, Norway.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Dickstein
authors.affiliation: University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Kevin
authors.initials: K
authors.lastname: Damman
authors.affiliation: Medical Faculty, University of Belgrade, Belgrade, Serbia.|Department of Cardiology, University Medical Center, Belgrade, Serbia.
authors.forename: Petar M
authors.initials: PM
authors.lastname: Seferovic
authors.affiliation: Department of Cardiology, University Heart Center, Rämistrasse 100, Zurich, 8091, Switzerland.
authors.forename: Frank
authors.initials: F
authors.lastname: Ruschitzka
authors.affiliation: Department of Physiology and Cardiothoracic Surgery, Faculty of Medicine, University of Porto, Porto, Portugal.|Department of Cardiothoracic Surgery, Centro Hospitalar Sao Joao, Porto, Portugal.
authors.forename: Adelino F
authors.initials: AF
authors.lastname: Leite-Moreira
authors.affiliation: Harvard Medical School and Emergency Medicine Department of Beth Israel Deaconess Medical Center, Boston, USA.|Faculty of Medicine, University Rennes 1, Rennes, France.
authors.forename: Abdelouahab
authors.initials: A
authors.lastname: Bellou
authors.affiliation: Division of Applied Cachexia Research, Department of Cardiology, Charite' Medical School, Berlin, Germany.|Division of Innovative Clinical Trials, Department of Cardiology, University Medical Centre Göttingen (UMG), Göttingen, Germany.
authors.forename: Stefan D
authors.initials: SD
authors.lastname: Anker
authors.affiliation: Department of Cardiology, Attikon University Hospital, University of Athens Medical School, Athens, Greece.
authors.forename: Gerasimos
authors.initials: G
authors.lastname: Filippatos
mesh_terms: D000208:Acute Disease; D002300:Cardiac Care Facilities; D002309:Cardiology / Q000458:organization & administration; D004232:Diuretics / Q000008:administration & dosage; D004632:Emergency Medical Services; D004635:Emergency Medicine / Q000458:organization & administration; D005060:Europe; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D010102:Oxygen Inhalation Therapy; D017410:Practice Guidelines as Topic / Q000592:standards*; D012770:Shock, Cardiogenic; D012955:Societies, Medical; D014665:Vasodilator Agents / Q000008:administration & dosage
chemical_list: D004232:Diuretics; D014665:Vasodilator Agents
keywords: Acute heart failure; cardiogenic shock; diuretics; vasodilators