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2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure.

Publication ,  Journal Article
Ezekowitz, JA; O'Meara, E; McDonald, MA; Abrams, H; Chan, M; Ducharme, A; Giannetti, N; Grzeslo, A; Hamilton, PG; Heckman, GA; Howlett, JG ...
Published in: Can J Cardiol
November 2017

Since the inception of the Canadian Cardiovascular Society heart failure (HF) guidelines in 2006, much has changed in the care for patients with HF. Over the past decade, the HF Guidelines Committee has published regular updates. However, because of the major changes that have occurred, the Guidelines Committee believes that a comprehensive reassessment of the HF management recommendations is presently needed, with a view to producing a full and complete set of updated guidelines. The primary and secondary Canadian Cardiovascular Society HF panel members as well as external experts have reviewed clinically relevant literature to provide guidance for the practicing clinician. The 2017 HF guidelines provide updated guidance on the diagnosis and management (self-care, pharmacologic, nonpharmacologic, device, and referral) that should aid in day-to-day decisions for caring for patients with HF. Among specific issues covered are risk scores, the differences in management for HF with preserved vs reduced ejection fraction, exercise and rehabilitation, implantable devices, revascularization, right ventricular dysfunction, anemia, and iron deficiency, cardiorenal syndrome, sleep apnea, cardiomyopathies, HF in pregnancy, cardio-oncology, and myocarditis. We devoted attention to strategies and treatments to prevent HF, to the organization of HF care, comorbidity management, as well as practical issues around the timing of referral and follow-up care. Recognition and treatment of advanced HF is another important aspect of this update, including how to select advanced therapies as well as end of life considerations. Finally, we acknowledge the remaining gaps in evidence that need to be filled by future research.

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Published In

Can J Cardiol

DOI

EISSN

1916-7075

Publication Date

November 2017

Volume

33

Issue

11

Start / End Page

1342 / 1433

Location

England

Related Subject Headings

  • Societies, Medical
  • Humans
  • Heart Failure
  • Disease Management
  • Cardiovascular System & Hematology
  • Cardiology
  • Canada
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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Ezekowitz, J. A., O’Meara, E., McDonald, M. A., Abrams, H., Chan, M., Ducharme, A., … Sussex, B. (2017). 2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure. Can J Cardiol, 33(11), 1342–1433. https://doi.org/10.1016/j.cjca.2017.08.022
Ezekowitz, Justin A., Eileen O’Meara, Michael A. McDonald, Howard Abrams, Michael Chan, Anique Ducharme, Nadia Giannetti, et al. “2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure.Can J Cardiol 33, no. 11 (November 2017): 1342–1433. https://doi.org/10.1016/j.cjca.2017.08.022.
Ezekowitz JA, O’Meara E, McDonald MA, Abrams H, Chan M, Ducharme A, et al. 2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure. Can J Cardiol. 2017 Nov;33(11):1342–433.
Ezekowitz, Justin A., et al. “2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure.Can J Cardiol, vol. 33, no. 11, Nov. 2017, pp. 1342–433. Pubmed, doi:10.1016/j.cjca.2017.08.022.
Ezekowitz JA, O’Meara E, McDonald MA, Abrams H, Chan M, Ducharme A, Giannetti N, Grzeslo A, Hamilton PG, Heckman GA, Howlett JG, Koshman SL, Lepage S, McKelvie RS, Moe GW, Rajda M, Swiggum E, Virani SA, Zieroth S, Al-Hesayen A, Cohen-Solal A, D’Astous M, De S, Estrella-Holder E, Fremes S, Green L, Haddad H, Harkness K, Hernandez AF, Kouz S, LeBlanc M-H, Masoudi FA, Ross HJ, Roussin A, Sussex B. 2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure. Can J Cardiol. 2017 Nov;33(11):1342–1433.
Journal cover image

Published In

Can J Cardiol

DOI

EISSN

1916-7075

Publication Date

November 2017

Volume

33

Issue

11

Start / End Page

1342 / 1433

Location

England

Related Subject Headings

  • Societies, Medical
  • Humans
  • Heart Failure
  • Disease Management
  • Cardiovascular System & Hematology
  • Cardiology
  • Canada
  • 3201 Cardiovascular medicine and haematology
  • 1102 Cardiorespiratory Medicine and Haematology