The Complexity in Managing Acute Heart Failure Patients in Intensive Cardiac Care Unit

Yoga Waranugraha

Abstract


Acute heart failure (AHF) is characterized by sudden or gradual onset of heart failure. AHF patients face the possibility of mortality, not only due to cardiovascular causes but also due to the complications arising from organ dysfunction caused by inadequate perfusion or the presence of organ congestion. It is frequent for patients with AHF to require treatment in the intensive cardiac care unit (ICCU). In this article, we are discussing and summarizing the current AHF treatment strategy in ICCU.


Keywords


acute heart failure, cardiogenic shock, intensive cardiac care unit.

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References


Grupper A, Chernomordik F, Herscovici R, et al. The burden of heart failure in cardiac intensive care unit: a prospective 7 years analysis. ESC Heart Fail. 2023;10(3):1615-1622. doi:10.1002/ehf2.14320

Bohula EA, Katz JN, Van Diepen S, et al. Demographics, Care Patterns, and Outcomes of Patients Admitted to Cardiac Intensive Care Units: The Critical Care Cardiology Trials Network Prospective North American Multicenter Registry of Cardiac Critical Illness. JAMA Cardiol. 2019;4(9):928. doi:10.1001/jamacardio.2019.2467

McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42(36):3599-3726. doi:10.1093/eurheartj/ehab368

McDonagh TA, Metra M, Adamo M, et al. 2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2023;44(37):3627-3639. doi:10.1093/eurheartj/ehad195

Arrigo M, Jessup M, Mullens W, et al. Acute heart failure. Nat Rev Dis Primer. 2020;6(1):16. doi:10.1038/s41572-020-0151-7

Kula AJ, Hanberg JS, Wilson FP, et al. Influence of Titration of Neurohormonal Antagonists and Blood Pressure Reduction on Renal Function and Decongestion in Decompensated Heart Failure. Circ Heart Fail. 2016;9(1). doi:10.1161/CIRCHEARTFAILURE.115.002333

Butler J, Gheorghiade M, Metra M. Moving away from symptoms‐based heart failure treatment: misperceptions and real risks for patients with heart failure. Eur J Heart Fail. 2016;18(4):350-352. doi:10.1002/ejhf.507

Mebazaa A, Tolppanen H, Mueller C, et al. Acute heart failure and cardiogenic shock: a multidisciplinary practical guidance. Intensive Care Med. 2016;42(2):147-163. doi:10.1007/s00134-015-4041-5

Mebazaa A, Combes A, Van Diepen S, et al. Management of cardiogenic shock complicating myocardial infarction. Intensive Care Med. 2018;44(6):760-773. doi:10.1007/s00134-018-5214-9

Zymliński R, Biegus J, Sokolski M, et al. Increased blood lactate is prevalent and identifies poor prognosis in patients with acute heart failure without overt peripheral hypoperfusion. Eur J Heart Fail. 2018;20(6):1011-1018. doi:10.1002/ejhf.1156

Harjola V, Mullens W, Banaszewski M, et al. Organ dysfunction, injury and failure in acute heart failure: from pathophysiology to diagnosis and management. A review on behalf of the Acute Heart Failure Committee of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC). Eur J Heart Fail. 2017;19(7):821-836. doi:10.1002/ejhf.872

Chioncel O, Parissis J, Mebazaa A, et al. Epidemiology, pathophysiology and contemporary management of cardiogenic shock – a position statement from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2020;22(8):1315-1341. doi:10.1002/ejhf.1922

Maack C, Eschenhagen T, Hamdani N, et al. Treatments targeting inotropy: A position paper of the Committees on Translational Research and Acute Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur Heart J. 2019;40(44):3626-3644. doi:10.1093/eurheartj/ehy600

Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016;37(27):2129-2200. doi:10.1093/eurheartj/ehw128




DOI: https://doi.org/10.21776/ub.hsj.2023.004.04.1

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