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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003831naa a2200577 4500
001oai:DiVA.org:liu-62398
003SwePub
008101130s2010 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-623982 URI
0247 a https://doi.org/10.1093/eurjhf/hfq0452 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Gheorghiade, Mihai4 aut
2451 0a Assessing and grading congestion in acute heart failure :b a scientific statement from the acute heart failure committee of the heart failure association of the European Society of Cardiology and endorsed by the European Society of Intensive Care Medicine.
264 c 2010-04-21
264 1b Wiley,c 2010
338 a print2 rdacarrier
520 a Patients with acute heart failure (AHF) require urgent in-hospital treatment for relief of symptoms. The main reason for hospitalization is congestion, rather than low cardiac output. Although congestion is associated with a poor prognosis, many patients are discharged with persistent signs and symptoms of congestion and/or a high left ventricular filling pressure. Available data suggest that a pre-discharge clinical assessment of congestion is often not performed, and even when it is performed, it is not done systematically because no method to assess congestion prior to discharge has been validated. Grading congestion would be helpful for initiating and following response to therapy. We have reviewed a variety of strategies to assess congestion which should be considered in the care of patients admitted with HF. We propose a combination of available measurements of congestion. Key elements in the measurement of congestion include bedside assessment, laboratory analysis, and dynamic manoeuvres. These strategies expand by suggesting a routine assessment of congestion and a pre-discharge scoring system. A point system is used to quantify the degree of congestion. This score offers a new instrument to direct both current and investigational therapies designed to optimize volume status during and after hospitalization. In conclusion, this document reviews the available methods of evaluating congestion, provides suggestions on how to properly perform these measurements, and proposes a method to quantify the amount of congestion present.
653 a MEDICINE
653 a MEDICIN
7001 a Follath, Ferenc4 aut
7001 a Ponikowski, Piotr4 aut
7001 a Barsuk, Jeffrey H4 aut
7001 a Blair, John E A4 aut
7001 a Cleland, John G4 aut
7001 a Dickstein, Kenneth4 aut
7001 a Drazner, Mark H4 aut
7001 a Fonarow, Gregg C4 aut
7001 a Jaarsma, Tinyu Linköpings universitet,Hälsa, Aktivitet, Vård (HAV),Hälsouniversitetet4 aut0 (Swepub:liu)tinja77
7001 a Jondeau, Guillaume4 aut
7001 a Sendon, Jose Lopez4 aut
7001 a Mebazaa, Alexander4 aut
7001 a Metra, Marco4 aut
7001 a Nieminen, Markku4 aut
7001 a Pang, Peter S4 aut
7001 a Seferovic, Petar4 aut
7001 a Stevenson, Lynne W4 aut
7001 a van Veldhuisen, Dirk J4 aut
7001 a Zannad, Faiez4 aut
7001 a Anker, Stefan D4 aut
7001 a Rhodes, Andrew4 aut
7001 a McMurray, John J V4 aut
7001 a Filippatos, Gerasimos4 aut
7102 a Linköpings universitetb Hälsa, Aktivitet, Vård (HAV)4 org
7730 t European Journal of Heart Failured : Wileyg 12:5, s. 423-33q 12:5<423-33x 1388-9842x 1879-0844
8564 u https://onlinelibrary.wiley.com/doi/pdfdirect/10.1093/eurjhf/hfq045
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-62398
8564 8u https://doi.org/10.1093/eurjhf/hfq045

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