Management of acute decompensated heart failure in the emergency department.

W. Frank Peacock, John Allegra, Douglas Ander, Sean Collins, Deborah Diercks, Charles Emerman, James D Kirk, Randall C. Starling, Marc Silver, Richard Summers

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Heart failure, a disease of epidemic proportions, has a tremendous clinical and financial impact on the US health care system. With more than 5 million Americans diagnosed with heart failure and 5-year mortality approaching 50%, it is the most common cause of hospitalization in patients older than 65 years and is the single most expensive diagnosis in the US health care system. Because the average US hospital loses more than 1000 dollars per heart failure admission, effective therapies that decrease length of stay, reduce hospital costs, and prevent 30-day readmissions are needed. This article reviews the relevant pathophysiology of heart failure, discusses the newest diagnostic strategies for emergency department diagnoses, evaluates recent advances and effects of early aggressive therapies, and presents a suggested algorithm for the treatment of acutely decompensated heart failure in emergency departments.

Original languageEnglish (US)
Pages (from-to)3-18
Number of pages16
JournalCongestive heart failure (Greenwich, Conn.)
VolumeSuppl 1
StatePublished - Sep 2003
Externally publishedYes

Fingerprint

Hospital Emergency Service
Heart Failure
Delivery of Health Care
Hospital Costs
Secondary Prevention
Length of Stay
Hospitalization
Mortality
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Peacock, W. F., Allegra, J., Ander, D., Collins, S., Diercks, D., Emerman, C., ... Summers, R. (2003). Management of acute decompensated heart failure in the emergency department. Congestive heart failure (Greenwich, Conn.), Suppl 1, 3-18.

Management of acute decompensated heart failure in the emergency department. / Peacock, W. Frank; Allegra, John; Ander, Douglas; Collins, Sean; Diercks, Deborah; Emerman, Charles; Kirk, James D; Starling, Randall C.; Silver, Marc; Summers, Richard.

In: Congestive heart failure (Greenwich, Conn.), Vol. Suppl 1, 09.2003, p. 3-18.

Research output: Contribution to journalArticle

Peacock, WF, Allegra, J, Ander, D, Collins, S, Diercks, D, Emerman, C, Kirk, JD, Starling, RC, Silver, M & Summers, R 2003, 'Management of acute decompensated heart failure in the emergency department.', Congestive heart failure (Greenwich, Conn.), vol. Suppl 1, pp. 3-18.
Peacock WF, Allegra J, Ander D, Collins S, Diercks D, Emerman C et al. Management of acute decompensated heart failure in the emergency department. Congestive heart failure (Greenwich, Conn.). 2003 Sep;Suppl 1:3-18.
Peacock, W. Frank ; Allegra, John ; Ander, Douglas ; Collins, Sean ; Diercks, Deborah ; Emerman, Charles ; Kirk, James D ; Starling, Randall C. ; Silver, Marc ; Summers, Richard. / Management of acute decompensated heart failure in the emergency department. In: Congestive heart failure (Greenwich, Conn.). 2003 ; Vol. Suppl 1. pp. 3-18.
@article{9504bf319547492b87e665d833e73d6f,
title = "Management of acute decompensated heart failure in the emergency department.",
abstract = "Heart failure, a disease of epidemic proportions, has a tremendous clinical and financial impact on the US health care system. With more than 5 million Americans diagnosed with heart failure and 5-year mortality approaching 50{\%}, it is the most common cause of hospitalization in patients older than 65 years and is the single most expensive diagnosis in the US health care system. Because the average US hospital loses more than 1000 dollars per heart failure admission, effective therapies that decrease length of stay, reduce hospital costs, and prevent 30-day readmissions are needed. This article reviews the relevant pathophysiology of heart failure, discusses the newest diagnostic strategies for emergency department diagnoses, evaluates recent advances and effects of early aggressive therapies, and presents a suggested algorithm for the treatment of acutely decompensated heart failure in emergency departments.",
author = "Peacock, {W. Frank} and John Allegra and Douglas Ander and Sean Collins and Deborah Diercks and Charles Emerman and Kirk, {James D} and Starling, {Randall C.} and Marc Silver and Richard Summers",
year = "2003",
month = "9",
language = "English (US)",
volume = "Suppl 1",
pages = "3--18",
journal = "Congestive Heart Failure",
issn = "1527-5299",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Management of acute decompensated heart failure in the emergency department.

AU - Peacock, W. Frank

AU - Allegra, John

AU - Ander, Douglas

AU - Collins, Sean

AU - Diercks, Deborah

AU - Emerman, Charles

AU - Kirk, James D

AU - Starling, Randall C.

AU - Silver, Marc

AU - Summers, Richard

PY - 2003/9

Y1 - 2003/9

N2 - Heart failure, a disease of epidemic proportions, has a tremendous clinical and financial impact on the US health care system. With more than 5 million Americans diagnosed with heart failure and 5-year mortality approaching 50%, it is the most common cause of hospitalization in patients older than 65 years and is the single most expensive diagnosis in the US health care system. Because the average US hospital loses more than 1000 dollars per heart failure admission, effective therapies that decrease length of stay, reduce hospital costs, and prevent 30-day readmissions are needed. This article reviews the relevant pathophysiology of heart failure, discusses the newest diagnostic strategies for emergency department diagnoses, evaluates recent advances and effects of early aggressive therapies, and presents a suggested algorithm for the treatment of acutely decompensated heart failure in emergency departments.

AB - Heart failure, a disease of epidemic proportions, has a tremendous clinical and financial impact on the US health care system. With more than 5 million Americans diagnosed with heart failure and 5-year mortality approaching 50%, it is the most common cause of hospitalization in patients older than 65 years and is the single most expensive diagnosis in the US health care system. Because the average US hospital loses more than 1000 dollars per heart failure admission, effective therapies that decrease length of stay, reduce hospital costs, and prevent 30-day readmissions are needed. This article reviews the relevant pathophysiology of heart failure, discusses the newest diagnostic strategies for emergency department diagnoses, evaluates recent advances and effects of early aggressive therapies, and presents a suggested algorithm for the treatment of acutely decompensated heart failure in emergency departments.

UR - http://www.scopus.com/inward/record.url?scp=0642341011&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0642341011&partnerID=8YFLogxK

M3 - Article

C2 - 14564141

AN - SCOPUS:0642341011

VL - Suppl 1

SP - 3

EP - 18

JO - Congestive Heart Failure

JF - Congestive Heart Failure

SN - 1527-5299

ER -