Imaging in patients with suspected acute heart failure: timeline approach position statement on behalf of the Heart Failure Association of the European Society of Cardiology

Jelena Čelutkienė, Mitja Lainscak, Lisa Anderson, Etienne Gayat, Julia Grapsa, Veli Pekka Harjola, Robert Manka, Petros Nihoyannopoulos, Pasquale Perrone Filardi, Rosa Vrettou, Stefan D. Anker, Gerasimos Filippatos, Alexandre Mebazaa, Marco Metra, Massimo Piepoli, Frank Ruschitzka, Jose Luis Zamorano, Giuseppe Rosano, Petar Seferovic

Research output: Contribution to journalArticle

Abstract

Acute heart failure is one of the main diagnostic and therapeutic challenges in clinical practice due to a non-specific clinical manifestation and the urgent need for timely and tailored management at the same time. In this position statement, the Heart Failure Association aims to systematize the use of various imaging methods in accordance with the timeline of acute heart failure care proposed in the recent guidelines of the European Society of Cardiology. During the first hours of admission the point-of-care focused cardiac and lung ultrasound examination is an invaluable tool for rapid differential diagnosis of acute dyspnoea, which is highly feasible and relatively easy to learn. Several portable and stationary imaging modalities are being increasingly used for the evaluation of cardiac structure and function, haemodynamic and volume status, precipitating myocardial ischaemia or valvular abnormalities, and systemic and pulmonary congestion. This paper emphasizes the central role of the full echocardiographic examination in the identification of heart failure aetiology, severity of cardiac dysfunction, indications for specific heart failure therapy, and risk stratification. Correct evaluation of cardiac filling pressures and accurate prognostication may help to prevent unscheduled short-term readmission. Alternative advanced imaging modalities should be considered to assist patient management in the pre- and post-discharge phase, including cardiac magnetic resonance, computed tomography, nuclear studies, and coronary angiography. The Heart Failure Association addresses this paper to the wide spectrum of acute care and heart failure specialists, highlighting the value of all available imaging techniques at specific stages and in common clinical scenarios of acute heart failure.

Original languageEnglish
JournalEuropean Journal of Heart Failure
DOIs
Publication statusAccepted/In press - Jan 1 2019

Keywords

  • Cardiac magnetic resonance
  • Computed tomography
  • Echocardiography
  • Global longitudinal strain
  • Heart failure
  • Hybrid imaging
  • Imaging
  • Nuclear imaging
  • Stress echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Čelutkienė, J., Lainscak, M., Anderson, L., Gayat, E., Grapsa, J., Harjola, V. P., Manka, R., Nihoyannopoulos, P., Filardi, P. P., Vrettou, R., Anker, S. D., Filippatos, G., Mebazaa, A., Metra, M., Piepoli, M., Ruschitzka, F., Zamorano, J. L., Rosano, G., & Seferovic, P. (Accepted/In press). Imaging in patients with suspected acute heart failure: timeline approach position statement on behalf of the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure. https://doi.org/10.1002/ejhf.1678