title: Update: Acute Heart Failure (VII): Nonpharmacological Management of Acute Heart Failure.
abstract: Acute heart failure is a major and growing public health problem worldwide with high morbidity, mortality, and cost. Despite recent advances in pharmacological management, the prognosis of patients with acute decompensated heart failure remains poor. Consequently, nonpharmacological approaches are being developed and increasingly used. Such techniques may include several modalities of ventilation, ultrafiltration, mechanical circulatory support, myocardial revascularization, and surgical treatment, among others. This document reviews the nonpharmacological approach in acute heart failure, indications, and prognostic implications.
authors.affiliation: Serviço de Cardiologia I, Hospital de Santa Maria, Lisbon Academic Medical Centre, CCUL, Lisbon, Portugal. Electronic address: placidorui@gmail.com.
authors.forename: Rui
authors.initials: R
authors.lastname: Plácido
authors.affiliation: Department of Anesthesia and Intensive Care, Université Paris Diderot, PRES Sorbonne Paris Cité and Saint Louis Lariboisière University Hospitals, Paris, France.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Mebazaa
mesh_terms: D000208:Acute Disease; D019468:Disease Management; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008020:Life Support Care / Q000379:methods*; D009204:Myocardial Revascularization / Q000379:methods*; D011379:Prognosis; D012121:Respiration, Artificial / Q000379:methods*; D014462:Ultrafiltration / Q000379:methods*
keywords: Acute heart failure; Apoyo circulatorio mecánico; Insuficiencia cardiaca aguda; Mechanical circulatory support; Ultrafiltración; Ultrafiltration; Ventilación; Ventilation