Key result
Early goal-directed treatment based on initial SBP is linked to better AHF outcomes.
Provides practical recommendations for the very early management of acute heart failure syndromes in the emergency department based on initial systolic blood pressure and symptoms.
Supports early goal-directed strategies in ED acute HF; hypothesis-generating and requires prospective validation before practice change.
The recent European Society of Cardiology (ESC) guidelines delineate the diagnosis and management of distinct categories of acute heart failure syndromes. However, physicians dealing with these patients may need guidance in choosing therapeutic alternatives as soon as the dyspneic patient arrives at the emergency department, until distinct categories of the ESC guidelines are identified. Hence, this manuscript summarizes practical recommendations for the very early management of patients with acute heart failure syndromes. The recommendations are based on a clinical classification system considering the initial systolic blood pressure and other symptoms. Early initiation of diagnostic and goal-directed treatment strategies are key factors in improving patient outcomes. Early and frequent reassessment is also imperative so that adjustments to the initial therapeutic approach can be made, as clinically indicated.
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Salem et al. (2010) conducted a review in Acute heart failure syndromes. Early management strategies based on systolic blood pressure was evaluated. Early initiation of diagnostic and goal-directed treatment strategies based on initial systolic blood pressure are key factors in improving outcomes for patients with acute heart failure syndromes.
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