Worsening of chronic heart failure: definition, epidemiology, management and prevention. A clinical consensus statement by the Heart Failure Association (HFA) of the ESC

Metra, M. et al. (2023) Worsening of chronic heart failure: definition, epidemiology, management and prevention. A clinical consensus statement by the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, (doi: 10.1002/ejhf.2874) (Early Online Publication)

Abstract

Episodes of worsening symptoms and signs characterize the clinical course of the patients with chronic heart failure. These events are associated with poorer quality of life, increased risks of hospitalization and death and are a major burden on health care resources. They usually require diuretic therapy, either administered intravenously or by escalation of oral doses or with combinations of different diuretic classes. Additional treatments may also have a major role, including initiation of guidelines recommended oral medical therapy (GRMT). Hospital admission is often necessary but treatment in the emergency service or in out-patient clinics or by primary care physicians has become increasingly used. Prevention of first and recurring episodes of WHF is an essential component of HF treatment and this may be achieved through early and rapid administration of GRMT. The aim of the present clinical consensus statement by the Heart Failure Association of the ESC is to provide an update on the definition, clinical characteristics, management and prevention of WHF in clinical practice.

• Item Type: Articles
• Status: Early Online Publication
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Cleland, Professor John
• Authors: Metra, M., Tomasoni, D., Adamo, M., Bayes‐Genis, A., Filippatos, G., Abdelhamid, M., Adamopoulos, S., Anker, S. D., Antohi, L., Böhm, M., Braunschweig, F., Gal, T. B., Butler, J., Cleland, J. G.F., Cohen‐Solal, A., Damman, K., Gustafsson, F., Hill, L., Jankowska, E., Lainscak, M., Lund, L. H., McDonagh, T., Mebazaa, A., Moura, B., Mullens, W., Piepoli, M., Ponikowski, P., Rakisheva, A., Ristic, A., Savarese, G., Seferovic, P., Sharma, R., Tocchetti, C. G., Yılmaz, M. B., Vitale, C., Volterrani, M., Von Haehling, S., Chioncel, O., Coats, A. J.S., and Rosano, G.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
• Journal Name: European Journal of Heart Failure
• Publisher: Wiley
• ISSN: 1388-9842
• ISSN (Online): 1879-0844
• Published Online: 26 April 2023
• Copyright Holders: Copyright © 2023 European Society of Cardiology
• First Published: First published in European Journal of Heart Failure 2023
• Publisher Policy: Reproduced in accordance with the publisher copyright policy