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ESC Congress 2003: Acute Heart Failure Guidelines
September 03, 2003IMPORTANT: This press release accompanies a presentation given at the ESC Congress 2003.
Written by the investigator himself/herself, this press release does not necessarily reflect the opinion of the European Society of Cardiology
ESC Congress 2003: Acute Heart Failure Guidelines
The Practice Guidelines Committee of the European Society of Cardiology (ESC) has appointed the Acute Heart Failure Task Force to formulate recommendations on the treatment of Acute Heart Failure in medical practice. This Task Force consists of members from the Working groups on Heart Failure and Acute Cardiac Care of the ESC and of representatives from the European Society of Intensive Care Medicine.
Acute Heart Failure is a complex acute care area since the reasons for Acute Heart Failure can be related to coronary heart disease and its complications in 50-60%, arrythmias in 10-30% of the cases to valvular heart disease or cardiomyopathies in 5-10% of the cases. In addition, there can be causes related to myocarditis, septicemia & post-operative complications, but these are not very frequent.
The advised treatment of Acute Heart Failure is based on a large number of small trials as larger controlled and evidence based trials are rare. This is mainly due to progress in treatment, which has only lately seen new agents and otherwise based on medications since 1970s.
The Acute Heart Failure Guidelines clarify the nomenclature for Acute Heart Failure; they describe the pathophysiology of Acute Heart Failure, the non-invasive and invasive monitoring of patients and the nonpharmacological and pharmacological treatment of patients.
The Task Force has worked to classify the recommendations and evidences on all these aspects.
The Task Force has also outlined recommendations for organisations and how therapies should be verified in documentation of new pharmaceutical agents. This has been an ongoing debate with pharmaceutical agencies. The rules have been constantly changing and evolving.
These Task Force guidelines emphasise the evaluation of recently introduced drugs, the relief of symptoms and clinical findings including diuresis and biochemical findings, quality of life and effects on outcome and prognosis.
Since ischemic heart disease is a major reason and a complicating factor in Acute Heart Failure, there are several chapters on the care of acute coronary syndromes and complications of acute myocardial infarction. The Guidelines also define the role of devices and assist devices. The recommendations have an extensive summary on initial, secondary and tertiary care of Acute Heart Failure.
European Society of Cardiology (ESC)
Heart Failure Current Events and Heart Failure News RSSStudy finds treatment fails to improve common form of heart failure
A medication used for high blood pressure does not improve a common form of heart failure, according to new results from a large, international study.
Fruit fly research may lead to better understanding of human heart disease
Researchers at the Burnham Institute for Medical Research (Burnham) have shown in both fruit flies and humans that genes involved in embryonic heart development are also integral to adult heart function. The study, led by Rolf Bodmer, Ph.D., was published in Proceedings of National Academy of Sciences.
Mini heart attacks lessen damage from major ones
Researchers have discovered one potential mechanism by which briefly cutting off, then restoring, blood flow to arteries prior to a heart attack lessens the damage caused, according to a study published today in the journal Cardiovascular Research.
Mechanisms of cardiovascular disease and cancer give clues to new therapies
Cardiovascular conditions leading to heart attacks and strokes are treated quite separately from common cancers of the prostate, breast or lung, but now turn out to involve some of the same critical mechanisms at the molecular level.
First Trial in the U.S. to Treat Both Ischemic & Non-Ischemic Heart Failure to be Performed by U of U Researchers Using Patient's Own Stem Cells
Researchers at the University of Utah are enrolling people in a new clinical trial that uses a patient's own stem cells to treat ischemic and non-ischemic heart failure.
Scientists map steps to block key enzyme action in heart failure
Taking a cue from the way drugs like Viagra put the biological brakes on a key enzyme involved in heart failure, scientists at Johns Hopkins have mapped out a key chemical step involved in blocking the enzyme.
Study shows direct link between leptin and obesity-related cardiovascular disease
Obese people who don't have high cholesterol or diabetes might think they're healthy - despite the extra pounds.
First trial of gene therapy for advanced heart failure shows promising results
Phase I results of the first clinical trial of gene therapy for patients with advanced heart failure show the approach to be promising, with improvements in several measures of the condition's severity.
Study reveals continued damage from banned obesity drug
Fenfluramine, the appetite suppressant drug banned in the US in 1997 due to fears over its links to heart conditions, has been shown to have serious long-term effects.
Mayo Clinic study finds risk of sudden cardiac death highest early after attack
People who survive a heart attack face the greatest risk of dying from sudden cardiac death (SCD) during the first month after leaving the hospital, according to a long-term community study by Mayo Clinic researchers of nearly 3,000 heart attack survivors.
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