Management of acute decompensated heart failure.

Journal Article (Journal Article;Review)

Acute decompensated heart failure represents a heterogeneous group of disorders that typically present as dyspnea, edema and fatigue. Despite the high prevalence of this condition and its associated major morbidity and mortality, diagnosis can be difficult, and optimal treatment remains poorly defined. Identification of the acute triggers for the decompensation as well as noninvasive characterization of cardiac filling pressures and output is central to management. Diuretics, vasodilators, continuous positive airway pressure and inotropes can be used to alleviate symptoms. However, few agents currently available for the treatment of acute decompensated heart failure have been definitively shown in large prospective randomized clinical trials to provide meaningful improvements in intermediate-term clinical outcomes. Multiple novel therapies are being developed, but previous treatment failures indicate that progress in the management of acute decompensated heart failure is likely to be slow.

Full Text

Duke Authors

Cited Authors

  • Allen, LA; O'Connor, CM

Published Date

  • March 13, 2007

Published In

Volume / Issue

  • 176 / 6

Start / End Page

  • 797 - 805

PubMed ID

  • 17353535

Pubmed Central ID

  • PMC1808524

Electronic International Standard Serial Number (EISSN)

  • 1488-2329

Digital Object Identifier (DOI)

  • 10.1503/cmaj.051620


  • eng

Conference Location

  • Canada