Executive summary of the 2023 update on the consensus regarding basic conduct during hospital admission for patients with acute heart failure.

Autor: Fernández-Rodríguez JM; Servicio de Medicina Interna, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain. Electronic address: chemachir@hotmail.com., Casado J; Servicio de Medicina Interna, Hospital Universitario de Getafe, Getafe, Madrid, Spain., Formiga F; Servicio de Medicina Interna, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain., González-Franco A; Unidad de Gestión Clínica de Medicina Interna, Hospital Universitario Central de Asturias, Oviedo, Spain., Arévalo JC; Servicio de Medicina Interna, Hospital Universitario de Badajoz, Badajoz, Spain., Beltrán M; Servicio de Medicina Interna, Hospital Virgen del Camino, Sanlúcar de Barrameda, Cádiz, Spain., Cerqueiro González JM; Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, Spain., Llàcer P; Servicio de Medicina Interna, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain., Manzano L; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain; Servicio de Medicina Interna, Hospital Universitario Ramón y Cajal, Departamento de Medicina y Especialidades Médicas, Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá, IRYCIS, Madrid, Spain., Morales-Rull JL; Servicio de Medicina Interna, Hospital Universitario Arnau de Vilanova, Lleida, Spain., Pérez Silvestre J; Servicio de Medicina Interna, Unidad Insuficiencia Cardiaca Paciente Crónico y Edad Avanzada, Consorcio Hospital General Universitario de Valencia, Valencia, Spain., Conde-Martel A; Servicio de Medicina Interna, Hospital Universitario de Gran Canaria Dr. Negrín, Universidad de Las Palmas, Las Palmas de Gran Canaria, Spain.
Jazyk: angličtina
Zdroj: Revista clinica espanola [Rev Clin Esp (Barc)] 2023 Oct; Vol. 223 (8), pp. 499-509. Date of Electronic Publication: 2023 Jul 26.
DOI: 10.1016/j.rceng.2023.07.008
Abstrakt: Acute heart failure (AHF) is associated with significant morbidity and mortality and it stands as the primary cause of hospitalization for individuals over the age of 65 in Spain. This document outlines the main recommendations as follows: (1) Upon admission, it is crucial to conduct a comprehensive assessment, taking into account the patient's standard treatment and comorbidities, as these factors determine the prognosis of the disease. (2) During the initial hours of hospital care, prioritizing decongestive treatment is essential. It is recommended to adopt an early staged diuretic therapeutic approach based on the patient's response. (3) In order to manage patients in the stable phase, it is advisable to consider initiating and/or adjusting evidence-based drug treatments such as sacubitril/valsartan or angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers, beta blockers, aldosterone antagonists, and SGLT2 inhibitors. (4) Upon hospital discharge, utilizing a checklist is recommended to optimize the patient's management and identify the most efficient options for ensuring continuity of care post-discharge.
(Copyright © 2023 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.)
Databáze: MEDLINE
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