Ambulatory Management of Worsening Heart Failure: Current Strategies and Future Directions.

Publication/Presentation Date

1-1-2021

Abstract

Heart failure (HF) is a highly prevalent and morbid disease in the USA. The chronic, progressive course of HF is defined by periodic exacerbations of symptoms, described as 'worsening heart failure' (WHF). Previously, episodes of WHF have required hospitalization for intravenous diuretics; however, recent innovations in care delivery models for patients with HF have allowed a transition from the acute care setting to the ambulatory setting. The development of remote monitoring strategies, including device-based algorithms and implantable haemodynamic monitoring systems, has facilitated more advanced surveillance of patients, aiming to prevent the clinical deterioration that leads to hospitalization. Additionally, the establishment of multidisciplinary HF clinics has provided the setting and resources for the outpatient treatment of WHF, specifically the administration of intravenous diuretics. Here we review the current state of ambulatory HF management, including mechanisms for patient monitoring and treatment, and outline future opportunities for outpatient management of this patient population.

Volume

15

Issue

1

First Page

49

Last Page

53

ISSN

2036-2579

Disciplines

Medicine and Health Sciences

PubMedID

36277316

Department(s)

Department of Medicine, Cardiology Division

Document Type

Article

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