Acute heart failure (suspected or confirmed): Initial diagnosis and subsequent evaluation with traditional and novel technologies  

作　　者：Ahmad Shoaib Thato Mabote Mohamed Zuhair Xenophon Kassianides John G. F. Cleland 

机构地区：[1]Department of Cardiology, University of Hull, Castle Hill Hospital Kingston upon Hull, UK

出　　处：《World Journal of Cardiovascular Diseases》2013年第3期290-300,共11页心血管病（英文）

摘　　要：Acute or worsening heart failure is a common reason for hospitalization which carries a high mortality. Prompt diagnosis or exclusion of HF and its cause and precipitating factors can improve the quality and efficiency of care, shorten hospital stay, reduce readmission and improve prognosis. While the clinician remains central to reaching a clinical diagnosis of heart failure, the use of traditional and novel diagnostic technologies will improve the specificity and sensitivity of the diagnosis of heart failure diagnosis and provide insights into its pathophysiogical profile and help tailor therapy to individual patient need. Chest X-rays and electrocardiograms are generally available;echocardiograms less so. Novel technologies include both invasive and non-invasive methods to detect increases in intrathoracic fluid, pulmonary congestion, left ventricular filling pressures, cardiac output and vascular function. However, few of these technologies have been subjected to randomised controlled trials investigating their ability to improve patient management.Acute or worsening heart failure is a common reason for hospitalization which carries a high mortality. Prompt diagnosis or exclusion of HF and its cause and precipitating factors can improve the quality and efficiency of care, shorten hospital stay, reduce readmission and improve prognosis. While the clinician remains central to reaching a clinical diagnosis of heart failure, the use of traditional and novel diagnostic technologies will improve the specificity and sensitivity of the diagnosis of heart failure diagnosis and provide insights into its pathophysiogical profile and help tailor therapy to individual patient need. Chest X-rays and electrocardiograms are generally available;echocardiograms less so. Novel technologies include both invasive and non-invasive methods to detect increases in intrathoracic fluid, pulmonary congestion, left ventricular filling pressures, cardiac output and vascular function. However, few of these technologies have been subjected to randomised controlled trials investigating their ability to improve patient management.

关 键 词：HEART FAILURE (HF) Acute HEART FAILURE SYNDROME AHFS BIO-IMPEDANCE DIAGNOSIS Monitoring 

分 类 号：R5[医药卫生—内科学]