1st Edition

Management of Acute Decompensated Heart Failure

    628 Pages 105 B/W Illustrations
    by CRC Press

    Although the majority of heart failure represents the exacerbation of chronic disease, about 20% will present as a first time diagnosis. And although there are a number of intravenous agents that can be used for acute decompensated heart failure, there are no national guidelines currently available. Edited by a well-known expert and his team of contributors, the book offers evidence-based advice on how they diagnose and treat their patients effectively. The sections cover: epidemiology and pathophysiology, diagnosis and evaluation, comorbidities, treatment strategies, issues in Management, and future directions in clinical practice and research.

    EPIDEMIOLOGY AND PATHOPHYSIOLOGY
    Nomenclature and Classification of Acute Heart Failure
    Epidemiology and Scope of the Problem of Decompensated Heart Failure
    Clinical Profile of the Acute Heart Failure Patient
    Gender Differences in Epidemiology and Pathophysiology of Advanced Heart Failure
    Ethnic Differences in Epidemiology and Pathophysiology of Advanced Heart Failure
    Aging as a Factor in the Epidemiology and Pathophysiology of Advanced Heart Failure
    Pathophysiology of the Spectrum of Acute Heart Failure: Denovo heart failure; Decompensated Heart Failure; Advanced Refractory Heart failure
    Low Output Acute Heart Failure
    Right-sided Heart Failure and Cor Pulmonale in the Advanced Heart Failure Patient
    Pathophysiology of Advanced Heart Failure in the Setting of Preserved Systolic Function
    Hemodynamic Classification of Acute Heart Failure
    Pathophysiology of the Hepatorenal Syndrome in Acute heart failure

    DIAGNOSIS AND EVALUATION OF THE ACUTE HEART FAILURE PATIENT
    Presentation of the Acute Heart Failure Patient: Signs, Symptoms, and Differential Diagnosis
    Physical Examination of the Acute Heart Failure Patient Assessment of Dyspnea and other Physical Examination Parameters
    Biologic Markers and Acute Heart Failure
    Assessment of LV Function in the Advanced Heart Failure Patient
    Diagnostic Evaluation of the Acute Heart Failure Patient with Systolic Dysfunction (cath, MRI, CXR, ECG)
    Hemodynamic Monitoring and Acute Heart Failure
    Non-Invasive Monitoring of the Acute Heart Failure Patient

    COMORBIDITIES IN THE ACUTE HEART FAILURE PATIENT
    Arrhythmias and Acute Heart Failure
    Mechanical Complications in Acute Heart Failure
    Ischemic Complications of Acute Heart Failure
    Hypertension Complicating the Patient with Acute Heart Failure
    Respiratory Failure in Acute Heart Failure
    Stroke Complicating Acute Heart Failure
    Psychiatry and Mental Status Changes in Acute Heart Failure
    Diabetic Complications in Acute Heart Failure
    Anemia Complicating Acute Heart Failure
    Thromboembolic disorders in the Patient with Acute Heart Failure

    TREATMENT STRATEGIES
    Management of Patients with Acute Heart Failure in the Setting of Preserved Systolic Function
    IV Nitroglycerin
    IV Inotropes/Inodilators
    IV Diuretics
    IV Nesiritide
    Antiplatelet Therapy
    Antithrombin Therapy
    Antiarrhythmic Therapy
    Psychosocial Therapy and Acute Heart Failure
    Pacing
    AICD
    EECP
    Balloon Pump
    Ultrafiltration
    Advanced Mechanical Therapy
    CABG
    Transplant
    SVR
    Cor Cap
    MVR
    CPAP
    In-Hospital Cardiac Rehabilitation in the Acute Heart Failure Patient
    Adenosine Antagonists and Potassium Sparing Diuretics
    Aldosterone Antagonists
    Calcium Sensitizers
    Vasopressin Antagonists
    Endothelin Receptor Antagonists

    ISSUES IN THE MANAGEMENT OF ACUTE HEART FAILURE
    Advanced Nursing Aspects
    Managing Pharmacotherapy: Focus on Alterations of Pharmacokinetics, Pharmacodynamics, and Drug Interactions in the Acute Heart Failure Patient
    Disease Management in the Advanced Heart Failure Patient
    Economics & Quality of Life in the Advanced Heart Failure Patient
    Addressing End of Life in the Acute Heart Failure Patient

    FUTURE DIRECTIONS IN ACUTE HEART FAILURE
    The Future of Clinical Practice and Clinical Research in Acute Heart Failure

    Biography

    O'Connor, Christopher ; Gattis Stough, Wendy ; Gheorghiade, Miahai ; Adams, Kirkwood F.