2016
DOI: 10.1111/acem.13025
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Clinical and Research Considerations for Patients With Hypertensive Acute Heart Failure: A Consensus Statement from the Society for Academic Emergency Medicine and the Heart Failure Society of America Acute Heart Failure Working Group

Abstract: Management approaches for patients in the emergency department (ED) who present with acute heart failure (AHF) have largely focused on intravenous diuretics. Yet, the primary pathophysiologic derangement underlying AHF in many patients is not solely volume overload. Patients with hypertensive AHF (H-AHF) represent a clinical phenotype with distinct pathophysiologic mechanisms that result in elevated ventricular filling pressures. To optimize treatment response and minimize adverse events in this subgroup, we p… Show more

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Cited by 11 publications
(4 citation statements)
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References 97 publications
(90 reference statements)
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“…Pulmonary ultrasonography. Ultrasonography of the lungs is becoming a generally accepted tool for the evalu ation of pulmonary oedema 6,85 . The quantity of water in the lungs corresponds to the degree of echogeni city found on ultrasonography 86 .…”
Section: Imaging and Monitoring Techniquesmentioning
confidence: 99%
“…Pulmonary ultrasonography. Ultrasonography of the lungs is becoming a generally accepted tool for the evalu ation of pulmonary oedema 6,85 . The quantity of water in the lungs corresponds to the degree of echogeni city found on ultrasonography 86 .…”
Section: Imaging and Monitoring Techniquesmentioning
confidence: 99%
“…The therapeutic approach to congestion depends on whether vascular‐type fluid redistribution or cardiac‐type fluid accumulation is the primary cause of the elevated cardiac filling pressures ( Figure ). More than 80% of patients are initially treated homogeneously with i.v.…”
Section: Clinical Management Tools In Acute Heart Failurementioning
confidence: 99%
“…32 Hunter et al 33 suggest that aggressive therapy with vasodilators be initiated for hypertensive AHF patients. Collins et al 34 also recommend the use of vasodilators for treatment but list signs of hypoperfusion, hypotension, or altered mental status as contraindications. Collins and Storrow et al 35 recommend administering intravenous nitroprusside or nitroglycerin if the BP is greater than 150/100 mm Hg after the administration of sublingual nitroglycerin.…”
Section: Acute Heart Failurementioning
confidence: 99%