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{====Stage C====
{{familytree/start}}
{{familytree/start}}
{{familytree | | | A01 | | A01=<div style="float: left; text-align: left; width: 18em; padding:1em;">'''Is this patient in shock'''<br>
{{familytree | A01 | |A01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''Treatment goal''':<br>
❑  <br> ❑ <br>❑ <br>❑ <br>  
❑ </div>}}
{{familytree | |!| | |}}
{{familytree | B02 | |B02=<div style="float: left; text-align: left; width: 20em; padding:1em;">
❑ [[Acute decompensated heart failure resident survival guide#Diuretic Therapy|Diuretic therapy]] for fluid retention
❑ [[ACE inhibitors]] ([[ACC AHA guidelines classification scheme|Class I, level of evidence A]])<br>
❑ [[Angiotensin II receptor antagonist|Angiotensin II receptor blocker]] ([[ARBs]]), use in:<br>
:[[ACE inhibitor]] intolerant patients with reduced LVEF ([[ACC AHA guidelines classification scheme|Class I, level of evidence A]])<br>
:As an alternative to [[ACE inhibitor]] as first line therapy ([[ACC AHA guidelines classification scheme|Class IIa, level of evidence A]])<br>
[[Beta blockers]] (for all stable patients) ([[ACC AHA guidelines classification scheme|Class I, level of evidence A]])<br>
❑ [[Aldosterone antagonist|Aldosterone receptor antagonist]]<br>
:❑ NYHA class II-IV with LVEF ≤ 35% ([[ACC AHA guidelines classification scheme|Class I, level of evidence A]])<br>
❑ [[Hydralazine]] and [[isosorbide dinitrate]]<br>
:❑ <br>
:❑  <br>
❑ [[Digoxin]] <br>
:❑ <br>
:❑ [[Omega-3 fatty acid]]
❑ [[Implantable cardioverter defibrillator]] (ICD) to prevent sudden death in: <br>
:❑ <br>
:❑ <br>
:❑ <br>
:❑ <br>
❑ [[Cardiac resynchronization therapy]] (CRT)<br>
:❑ <br>
:❑ <br>
:❑ <br>
:❑ <br>
</div>}}
</div>}}
{{familytree | |,|-|^|-|.| |}}
{{familytree | B01 | | B02 | |B01=Yes|B02=No}}
{{familytree | |!| | | |!| | |}}
{{familytree | C01 | | C02 | |C01=Treat|C02=<div style="float: left; text-align: left; width: 18em; padding:1em;">'''Does the patient have severe symptoms of heart failure?'''<br>
❑ <br> ❑ <br>❑ <br>❑ <br>
</div>}}
{{familytree | | | |,|-|^|-|.| |}}
{{familytree | | | D01 | | D02 | |D01=Yes|D02=No}}
{{familytree | | | |!| | | |!| | | |}}
{{familytree | | | E01 | | E02 |E01=Treatment|E02=<div style="float: left; text-align: left; width: 15em; padding:1em;">  '''[[Acute decompensated heart failure resident survival guide#Complete Diagnostic Approach to Acute Heart Failure|Continue with the diagnostic approach]]''' </div> | border=0}}
{{familytree/end}}
{{familytree/end}}

Revision as of 19:38, 1 April 2014

{====Stage C====

Treatment goal:
 
 
 
 
 
 

Diuretic therapy for fluid retention ❑ ACE inhibitors (Class I, level of evidence A)
Angiotensin II receptor blocker (ARBs), use in:

ACE inhibitor intolerant patients with reduced LVEF (Class I, level of evidence A)
❑ As an alternative to ACE inhibitor as first line therapy (Class IIa, level of evidence A)

Beta blockers (for all stable patients) (Class I, level of evidence A)
Aldosterone receptor antagonist

❑ NYHA class II-IV with LVEF ≤ 35% (Class I, level of evidence A)

Hydralazine and isosorbide dinitrate



Digoxin


Omega-3 fatty acid

Implantable cardioverter defibrillator (ICD) to prevent sudden death in:





Cardiac resynchronization therapy (CRT)