Complicated Acute Heart Failure Subsets

Excerpt

Acute decompensated heart failure (ADHF) is a difficult clinical problem with poor outcomes. High in-hospital mortality and readmissions remain a concern despite advancement of treatment options for heart failure [1, 2]. The presence of complicating factors such as ventricular arrhythmias, renal dysfunction, or ischaemic heart disease (with or without hibernating myocardium) makes the management more complex and the outcomes bleaker [3‐5]. However, newer treatment options continue to appear and further research continues. A focused look at these complicated ADHF scenarios is therefore helpful in assessing where we currently are in tackling these syndromes and what is just around the corner. Such focus is also likely to lead to new targeted thinking towards better avenues of management. …