TY - JOUR
T1 - Imaging in patients with suspected acute heart failure
T2 - timeline approach position statement on behalf of the Heart Failure Association of the European Society of Cardiology
AU - Čelutkienė, Jelena
AU - Lainscak, Mitja
AU - Anderson, Lisa
AU - Gayat, Etienne
AU - Grapsa, Julia
AU - Harjola, Veli Pekka
AU - Manka, Robert
AU - Nihoyannopoulos, Petros
AU - Filardi, Pasquale Perrone
AU - Vrettou, Rosa
AU - Anker, Stefan D.
AU - Filippatos, Gerasimos
AU - Mebazaa, Alexandre
AU - Metra, Marco
AU - Piepoli, Massimo
AU - Ruschitzka, Frank
AU - Zamorano, Jose Luis
AU - Rosano, Giuseppe
AU - Seferovic, Petar
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - Cardiac magnetic resonance
KW - Computed tomography
KW - Echocardiography
KW - Global longitudinal strain
KW - Heart failure
KW - Hybrid imaging
KW - Imaging
KW - Nuclear imaging
KW - Stress echocardiography
UR - http://www.scopus.com/inward/record.url?scp=85076579686&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85076579686&partnerID=8YFLogxK
U2 - 10.1002/ejhf.1678
DO - 10.1002/ejhf.1678
M3 - Article
C2 - 31815347
AN - SCOPUS:85076579686
JO - European Journal of Heart Failure
JF - European Journal of Heart Failure
SN - 1388-9842
ER -