Society of Chest Pain Centers Recommendations for the Evaluation and Management of the Observation Stay Acute Heart Failure Patient

Writing Committee Members Heart Failure Executive Committee Co-Chairs: W. Frank Peacock, MD, Cleveland Clinic Foundation, Cleveland, OH Gregg C. Fonarow, MD, FACC, Ahmanson-UCLA Cardiomyopathy Center, David Geffen School of Medicine at UCLA, Los Angeles, CA Heart Failure Diagnosis Subcommittee Chair: Douglas S. Ander, MD, Emory University School of Medicine, Atlanta, GA Members: Alan Maisel, MD, La Jolla VA Medical Center, San Diego, CA Judd E. Hollander, MD, From the University of Pennsylvania, Philadelphia, PA James L. Januzzi Jr, MD, Massachusetts General Hospital, Harvard Medical School, Boston, MA Clyde W. Yancy, MD, Baylor Heart & Vascular Institute, Dallas, TX Heart Failure Risk Stratification Subcommittee Co-chairs: Sean P. Collins, MD, MSc, University of Cincinnati, Cincinnati, OH Mihai Gheorghiade, MD, Northwestern Memorial Hospital, Bluhm Cardiovascular Institute of Northwestern, Chicago, IL Members: Neal L. Weintraub, MD, University of Cincinnati, Cincinnati, OH Alan B. Storrow, MD, Vanderbilt University Medical Center, Nashville, TN Peter S. Pang, MD, Northwestern University Feinberg School of Medicine, Chicago, IL William T. Abraham, MD, FACP, FACC, FAHA, The Ohio State University Medical Center, Columbus, OH Brian Hiestand, MD, MPH, The Ohio State University Medical Center, Columbus, OH Heart Failure Treatment Subcommittee Co-chairs: J. Douglas Kirk, MD, University of California, Davis Medical Center, Sacramento, CA Gerasimos Filippatos, MD, University of Athens Hospital, Athens, Greece Members: Mihai Gheorghiade, MD, Northwestern Memorial Hospital, Bluhm Cardiovascular Institute of Northwestern, Chicago, IL Peter S. Pang, MD, Northwestern University Feinberg School of Medicine, Chicago, IL Phillip Levy, MD, MPH, Wayne State University School of Medicine, Detroit, MI Ezra A. Amsterdam, MD, FACC, University of California School of Medicine and Medical Center, Davis and Sacramento, CA Heart Failure Discharge Criteria Subcommittee Co-chairs: Deborah B. Diercks, MD, FACEP, University of California, Davis Medical Center, Sacramento, CA Ezra A. Amsterdam, MD, FACC, University of California School of Medicine and Medical Center, Davis and Sacramento, CA Members: David F. Gaieski, MD, FACEP, University of Pennsylvania, Philadelphia, PA Diane Gurney, RN, MS, CEN, Cape Cod Hospital, Hyannis, MA Heart Failure Patient Education Subcommittee Co-chairs: Robin J. Trupp, PhD(c), MSN, APRN, BC, FAHA, The Ohio State University College of Nursing, Columbus, OH Brian Hiestand, MD, MPH, The Ohio State University Medical Center, Columbus, OH Members: Gail Dodge, RN, MSN, CEN, FreemanWhite, Inc., Charlotte, NC Christy O. Hayes, MSN, APRN, Wake Forest University Baptist Hospital, Winston-Salem, NC Chadwick D. Miller, MD, Wake Forest University School of Medicine, Winston-Salem, NC Elsie Selby, MSN, ARNP, CCNS, CCRN, Ephraim McDowell Regional Medical Center, Danville, KY Peer Reviewers Raymond D. Bahr, MD, FACC, St. Agnes Healthcare, Baltimore, MD Andra L. Blomkalns, MD, University of Cincinnati, Cincinnati, OH James McCord, MD, FACC, Henry Ford Hospital, Wayne State University, Detroit, MI Richard M. Nowak, MD, MBA, FACEP, FAAEM, Henry Ford Health System, Detroit, MI Robert J. Stomel, DO, FACC, Cardiovascular Clinical Associates, Farmington Hills, MI Relationship With Industry: Writing Group and Peer Reviewers Writing Committee Members Co-Chairs: Gregg C. Fonarow, MD Grant/research support from GlaxoSmithKline, Medtronic, Scios, Pfizer, NHLBI Consultant to GlaxoSmithKline, Medtronic, Scios, Nitromed, Astra Zeneca, Otsuka, Amgen Regular speaker for GlaxoSmithKline, Medtronic, Nitromed, Astra Zeneca, Novartis, Pfizer W. Frank Peacock, MD Grant/research support from Abbott, Biosite, Brahms, CHF Solutions, Heartscape, Inovise, Inverness, PDL, Scios, The Medicines Co Regular speaker for Abbott, Beckman-Coulter, Biosite, Ortho Clinical Diagnostics, PDL, Scios Stock shareholder of Vital Sensors Scientific advisory board member at Abbott, Biosite, Inovise, Inverness, Ortho Clinical Diagnostics, Vital Sensors William T. Abraham, MD, FACP, FACC, FAHA No financial interests or commercial affiliations Ezra A. Amsterdam, MD, FACC Consultant to Pfizer, Biosite, Advogent, Merck, Sanofi, BMS, Heartscape Regular speaker for Pfizer, Biosite, Advogent, Merck, Sanofi, BMS, Heartscape, Astra Zeneca, GSK Douglas S. Ander, MD No financial interests or commercial affiliations Sean P. Collins, MD, MSc Grant/research support from Biosignetics, Inovise Medical Inc, NIH/NHLBI Consultant to Scios, Abbot Point-of-Care, PDL BioPharma, Astellas and Otsuka Pharmaceuticals Deborah B. Diercks, MD, FACEP Grant/research support from Dade-Behring Consultant to Astellas Regular speaker for Scios Gail Dodge, RN, MSN, CEN No financial interests or commercial affiliations Gerasimos Filippatos, MD No financial interests or commercial affiliations David F. Gaieski, MD, FACEP No financial interests or commercial affiliations Mihai Gheorghiade, MD Grant/research support from National Institutes of Health, Otsuka, Sigma Tau, Merck, Scios Consultant to Debbio Pharm, Errekappa Terapeutici, GlaxoSmithKline, Protein Design Labs, Medtronic, Johnson and Johnson, Solvay Honoraria receved from Abbot, AstraZeneca, GlaxoSmithKline, Medtronic, Otsuka, Protein Design Labs, Scios Inc., and Sigma Tau for speaking and presenting engagements Diane Gurney, RN, MS, CEN No financial interests or commercial affiliations Christy O. Hayes, MSN, APRN No financial interests or commercial affiliations Brian Hiestand, MD, MPH No financial interests or commercial affiliations Judd E. Hollander, MD Grant/research support from Inverness Medical, Biosite, Siemens, Sanofi-Aventis, Abbott Consultant to Sanofi-Aventis, GSK, PCL, BMS, Genentech, Astra Zeneca, Baxter, The Medicines Company, Otsuka America Stock shareholder of mutual funds with various holdings Honorarium/expenses: Sanofi-Aventis, Biosite, Scios, GSK, PDL, BMS, Ethicon, The Medicines Company, Genentech Kay Holmes, RN, BSN, MSA Employed by The Society of Chest Pain Centers James L. Januzzi Jr, MD Grant/research support from Roche Diagnostics, Inverness Medical Innovations, Dade Behring Consultant to Roche Diagnostics, Dade Behring, Inverness Medical, Biosite, Ortho Regular speaker for Roche Diagnostics J. Douglas Kirk, MD Consultant to Biosite JNC, Otsuka, Sanofi-Aventis Regular speaker for Sanofi-Aventis, Biosite Phillip Levy, MD, MPH Grant/research support from The Medicines Company, ProMedDx, LLC Consultant to Electrosonics Medical, Inc Alan Maisel, MD Grant/research support from Bayer, Abbot, Roche Consultant to Biosite Regular speaker for Scios Chadwick D. Miller, MD Grant/research support from Biosite, Schering-Plough Pharaceuticals, Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership, Heartscape Technologies Inc, Inovise Medical, Breathquant Medical LLC, Johnson & Johnson, Scios Inc. Consultant to Molecular Insight, The Medicines Company Peter S. Pang, MD Grant/research support from PDL BioPharma Consultant to PDL Biopharma, Otsuka Honoraria received from Otsuka, Solvay Pharmaceuticals Elsie Selby, MSN, ARNP, CCNS, CCRN No financial interests or commercial affiliations Alan B. Storrow, MD Grant/research support from Inverness Medical Innovations, Biosignetics, PDL BioPharma, Abbott Diagnostics, Roche Diagnostics Consultant to Molecular Insight Pharaceuticals, Abbott Diagnostics, The Medicines Company, Sanofi-Aventis, Otsuka Pharmaceuticals Robin J. Trupp, PhD(c), MSN, APRN, BC, FAHA No financial interests or commercial affiliations Neal L. Weintraub, MD Grant/research support from National Institutes of Health, Pfizer Corporation Clyde W. Yancy, MD Grant/research support from Scios Consultant to Otsuka, Scios Peer Reviewers Raymond D. Bahr, MD, FACC No financial interests or commercial affiliations Andra L. Blomkalns, MD James McCord, MD, FACC Grant/research support from Brahms Diagnostics, Molecular Insight Regular speaker for Biosite Diagnostics Richard M. Nowak, MD, MBA, FACEP, FAAEM No financial interests or commercial affiliations Robert J. Stomel, DO, FACC No financial interests or commercial affiliations