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Management of Acute Heart Failure

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Evidence-Based Critical Care

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Abstract

Acute heart failure is a complex clinical syndrome that results from impaired cardiac performance, either in the setting of preserved or reduced contractile function. A systematic history and physical examination is needed to rapidly diagnose acute heart failure, as prompt diagnosis and treatment are required to avoid progressive hemodynamic and sometimes electrical decompensation, which can result in shock or death. While the mainstay of acute therapy includes diuretics and vasodilators, more refractory cases can require inotropes or mechanical circulatory support.

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Author information

Authors and Affiliations

  1. Cardiology, Department of Medicine, University of North Carolina, Chapel Hill, NC, USA

    Gregory T. Means

  2. Medicine, Mechanical Heart Program, Cardiac Intensive Care Unit, Cardiothoracic Intensive Care Unit & Critical Care Service, Cardiovascular Clinical Trials, University of North Carolina, Chapel Hill, NC, USA

    Jason N. Katz

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  1. Gregory T. Means
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Correspondence to Gregory T. Means .

Editor information

Editors and Affiliations

  1. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, Michigan, USA

    Robert C. Hyzy

Electronic Supplementary Material

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Echocardiogram. An example of systolic congestive heart failure with reduced left ventricular ejection fraction of 15 %, as seen on echocardiogram (AVI 1342 kb)

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© 2017 Springer International Publishing Switzerland

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Means, G.T., Katz, J.N. (2017). Management of Acute Heart Failure. In: Hyzy, R. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-43341-7_11

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  • DOI: https://doi.org/10.1007/978-3-319-43341-7_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43339-4

  • Online ISBN: 978-3-319-43341-7

  • eBook Packages: MedicineMedicine (R0)

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