Congestive heart failure AHA recommendations Coordinating Care for Patients With Chronic HF: Difference between revisions

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(/* 2022 AHA/ACC/HFSA Guideline /2013 ACCF/AHA Guideline/2009 ACC/AHA Focused Update and 2005 Guidelines for the Diagnosis and Management of Heart Failure in the Adult (DO NOT EDIT) {{cite journal| author=Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM | display-authors=etal| title=2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice G...)
 
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{{Congestive heart failure}}
{{Congestive heart failure}}
{{CMG}}; {{AE}} {{MS}}
{{CMG}}; {{AE}} {{MS}} ; [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]] [Mailto:efco@alum.up.edu.ph


==2022 AHA/ACC/HFSA Guideline /2013 ACCF/AHA Guideline/2009 ACC/AHA Focused Update and 2005 Guidelines for the Diagnosis and Management of Heart Failure in the Adult (DO NOT EDIT) <ref name="pmid35363500">{{cite journal| author=Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM | display-authors=etal| title=2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=Circulation | year= 2022 | volume= 145 | issue= 18 | pages= e876-e894 | pmid=35363500 | doi=10.1161/CIR.0000000000001062 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35363500  }} </ref> <ref name="pmid23747642">{{cite journal| author=Yancy CW, Jessup M, Bozkurt B, Masoudi FA, Butler J, McBride PE et al.| title=2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=J Am Coll Cardiol | year= 2013 | volume=  | issue=  | pages=  | pmid=23747642 | doi=10.1016/j.jacc.2013.05.019 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23747642  }} </ref><ref name="pmid19324967">Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=19324967 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation.] ''Circulation'' 119 (14):1977-2016.[http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192064 DOI:10.1161/CIRCULATIONAHA.109.192064] PMID:[http://pubmed.gov/19324967 19324967]</ref>==
==2022 AHA/ACC/HFSA Guideline /2013 ACCF/AHA Guideline/2009 ACC/AHA Focused Update and 2005 Guidelines for the Diagnosis and Management of Heart Failure in the Adult (DO NOT EDIT) <ref name="pmid35363500">{{cite journal| author=Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM | display-authors=etal| title=2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=Circulation | year= 2022 | volume= 145 | issue= 18 | pages= e876-e894 | pmid=35363500 | doi=10.1161/CIR.0000000000001062 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35363500  }} </ref> <ref name="pmid23747642">{{cite journal| author=Yancy CW, Jessup M, Bozkurt B, Masoudi FA, Butler J, McBride PE et al.| title=2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=J Am Coll Cardiol | year= 2013 | volume=  | issue=  | pages=  | pmid=23747642 | doi=10.1016/j.jacc.2013.05.019 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23747642  }} </ref><ref name="pmid19324967">Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=19324967 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation.] ''Circulation'' 119 (14):1977-2016.[http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192064 DOI:10.1161/CIRCULATIONAHA.109.192064] PMID:[http://pubmed.gov/19324967 19324967]</ref>==


===Coordinating Care for Patients With Chronic HF (DO NOT EDIT) <ref name="pmid35363500">{{cite journal| author=Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM | display-authors=etal| title=2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=Circulation | year= 2022 | volume= 145 | issue= 18 | pages= e876-e894 | pmid=35363500 | doi=10.1161/CIR.0000000000001062 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35363500  }} </ref><ref name="pmid23747642">{{cite journal| author=Yancy CW, Jessup M, Bozkurt B, Masoudi FA, Butler J, McBride PE et al.| title=2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=J Am Coll Cardiol | year= 2013 | volume=  | issue=  | pages=  | pmid=23747642 | doi=10.1016/j.jacc.2013.05.019 | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23747642  }} </ref><ref name="pmid19324967">Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=19324967 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation.] ''Circulation'' 119 (14):1977-2016. [http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192064 DOI:10.1161/CIRCULATIONAHA.109.192064] PMID:[http://pubmed.gov/19324967 19324967]</ref>===
===[[Palliative]] and Supportive [[Care]], Shared Decision-Making, and [[End-of-Life]] (DO NOT EDIT) <ref name="pmid35363500">{{cite journal| author=Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM | display-authors=etal| title=2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=Circulation | year= 2022 | volume= 145 | issue= 18 | pages= e876-e894 | pmid=35363500 | doi=10.1161/CIR.0000000000001062 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35363500  }} </ref><ref name="pmid23747642">{{cite journal| author=Yancy CW, Jessup M, Bozkurt B, Masoudi FA, Butler J, McBride PE et al.| title=2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=J Am Coll Cardiol | year= 2013 | volume=  | issue=  | pages=  | pmid=23747642 | doi=10.1016/j.jacc.2013.05.019 | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23747642  }} </ref><ref name="pmid19324967">Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=19324967 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation.] ''Circulation'' 119 (14):1977-2016. [http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192064 DOI:10.1161/CIRCULATIONAHA.109.192064] PMID:[http://pubmed.gov/19324967 19324967]</ref>===




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|colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
|colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Effective systems of care coordination with special attention to care transitions should be deployed for every patient with chronic [[HF]] that facilitate and ensure effective care that is designed to achieve GDMT and prevent hospitalization.<ref name="pmid21733889">{{cite journal| author=Inglis SC, Clark RA, McAlister FA, Stewart S, Cleland JG| title=Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: Abridged Cochrane Review. | journal=Eur J Heart Fail | year= 2011 | volume= 13 | issue= 9 | pages= 1028-40 | pmid=21733889 | doi=10.1093/eurjhf/hfr039 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21733889  }} </ref><ref name="pmid15312864">{{cite journal| author=McAlister FA, Stewart S, Ferrua S, McMurray JJ| title=Multidisciplinary strategies for the management of heart failure patients at high risk for admission: a systematic review of randomized trials. | journal=J Am Coll Cardiol | year= 2004 | volume= 44 | issue= 4 | pages= 810-9 | pmid=15312864 | doi=10.1016/j.jacc.2004.05.055 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15312864  }} </ref><ref name="pmid15086645">{{cite journal| author=Naylor MD, Brooten DA, Campbell RL, Maislin G, McCauley KM, Schwartz JS| title=Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. | journal=J Am Geriatr Soc | year= 2004 | volume= 52 | issue= 5 | pages= 675-84 | pmid=15086645 | doi=10.1111/j.1532-5415.2004.52202.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15086645  }}  [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15487094 Review in: Evid Based Nurs. 2004 Oct;7(4):116] </ref><ref name="pmid12657079">{{cite journal| author=Coleman EA, Boult C, American Geriatrics Society Health Care Systems Committee| title=Improving the quality of transitional care for persons with complex care needs. | journal=J Am Geriatr Soc | year= 2003 | volume= 51 | issue= 4 | pages= 556-7 | pmid=12657079 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12657079  }} </ref><ref name="pmid15725981">{{cite journal| author=Coleman EA, Mahoney E, Parry C| title=Assessing the quality of preparation for posthospital care from the patient's perspective: the care transitions measure. | journal=Med Care | year= 2005 | volume= 43 | issue= 3 | pages= 246-55 | pmid=15725981 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15725981 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki>
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.'''For all [[patients]] with [[HF]], [[palliative]] and [[supportive care]]- including high-quality communication, conveyance of [[prognosis]], clarifying goals of [[care]], shared decision-making, [[symptom]] [[management]], and [[caregiver]] support- should be provided to improve [[QOL]] and relieve suffering. <ref name="pmid31307276">{{cite journal| author=Datla S, Verberkt CA, Hoye A, Janssen DJA, Johnson MJ| title=Multi-disciplinary palliative care is effective in people with symptomatic heart failure: A systematic review and narrative synthesis. | journal=Palliat Med | year= 2019 | volume= 33 | issue= 8 | pages= 1003-1016 | pmid=31307276 | doi=10.1177/0269216319859148 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31307276 }} </ref>''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C-LD]])'' <nowiki>"</nowiki>


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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''2.''' Every patient with [[HF]] should have a clear, detailed, and evidence-based plan of care that ensures the achievement of GDMT goals, effective management of comorbid conditions, timely follow-up with the healthcare team, appropriate dietary and physical activities, and compliance with Secondary Prevention Guidelines for cardiovascular disease. This plan of care should be updated regularly and made readily available to all members of each patient’s healthcare team.<ref name="pmid22055990">{{cite journal| author=Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA et al.| title=AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. | journal=J Am Coll Cardiol | year= 2011 | volume= 58 | issue= 23 | pages= 2432-46 | pmid=22055990 | doi=10.1016/j.jacc.2011.10.824 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22055990 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''2.''' For [[patients]] with [[HF]] being considered for, or treated with, life-extending [[therapies]], the option for discontinuation should be anticipated and discussed through the continuum of [[care]], including at the time of initiation, and reassessed with changing [[medical]] conditions and shifting goals of [[care]].<ref name="pmid20194235">{{cite journal| author=Goldstein N, Carlson M, Livote E, Kutner JS| title=Brief communication: Management of implantable cardioverter-defibrillators in hospice: A nationwide survey. | journal=Ann Intern Med | year= 2010 | volume= 152 | issue= 5 | pages= 296-9 | pmid=20194235 | doi=10.7326/0003-4819-152-5-201003020-00007 | pmc=2832227 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20194235 }} </ref><ref name="pmid26998594">{{cite journal| author=McIlvennan CK, Jones J, Allen LA, Swetz KM, Nowels C, Matlock DD| title=Bereaved Caregiver Perspectives on the End-of-Life Experience of Patients With a Left Ventricular Assist Device. | journal=JAMA Intern Med | year= 2016 | volume= 176 | issue= 4 | pages= 534-9 | pmid=26998594 | doi=10.1001/jamainternmed.2015.8528 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26998594 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C-LD]])'' <nowiki>"</nowiki>


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|colspan="1" style="text-align:center; background:LemonChiffon"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''3.''' Palliative and supportive care is effective for patients with symptomatic advanced [[HF]] to improve quality of life.<ref name="pmid18195339">{{cite journal| author=Lorenz KA, Lynn J, Dy SM, Shugarman LR, Wilkinson A, Mularski RA et al.| title=Evidence for improving palliative care at the end of life: a systematic review. | journal=Ann Intern Med | year= 2008 | volume= 148 | issue= 2 | pages= 147-59 | pmid=18195339 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18195339 }} </ref><ref name="pmid18195338">{{cite journal| author=Qaseem A, Snow V, Shekelle P, Casey DE, Cross JT, Owens DK et al.| title=Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians. | journal=Ann Intern Med | year= 2008 | volume= 148 | issue= 2 | pages= 141-6 | pmid=18195338 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18195338 }} </ref><ref name="pmid22392529">{{cite journal| author=Allen LA, Stevenson LW, Grady KL, Goldstein NE, Matlock DD, Arnold RM et al.| title=Decision making in advanced heart failure: a scientific statement from the American Heart Association. | journal=Circulation | year= 2012 | volume= 125 | issue= 15 | pages= 1928-52 | pmid=22392529 | doi=10.1161/CIR.0b013e31824f2173 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22392529 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki>
| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.'''For [[patients]] with [[HF]]- particularly stage D [[HF]] [[patients]] being evaluated for advanced [[therapies]], [[patients]] requiring [[inotropic]] support or temporary mechanical support, [[patients]] experiencing uncontrolled [[symptoms]], major [[medical]] decisions, or multi[[morbidity]], frailty, and [[cognitive impairment]] - [[specialist]] [[palliative care]] consultation can be useful to improve [[QOL]] and relieve [[suffering]]. <ref name="pmid28705314">{{cite journal| author=Rogers JG, Patel CB, Mentz RJ, Granger BB, Steinhauser KE, Fiuzat M | display-authors=etal| title=Palliative Care in Heart Failure: The PAL-HF Randomized, Controlled Clinical Trial. | journal=J Am Coll Cardiol | year= 2017 | volume= 70 | issue= 3 | pages= 331-341 | pmid=28705314 | doi=10.1016/j.jacc.2017.05.030 | pmc=5664956 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28705314 }} </ref><ref name="pmid29482218">{{cite journal| author=Bekelman DB, Allen LA, McBryde CF, Hattler B, Fairclough DL, Havranek EP | display-authors=etal| title=Effect of a Collaborative Care Intervention vs Usual Care on Health Status of Patients With Chronic Heart Failure: The CASA Randomized Clinical Trial. | journal=JAMA Intern Med | year= 2018 | volume= 178 | issue= 4 | pages= 511-519 | pmid=29482218 | doi=10.1001/jamainternmed.2017.8667 | pmc=5876807 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29482218 }} </ref><ref name="pmid29641819">{{cite journal| author=O'Donnell AE, Schaefer KG, Stevenson LW, DeVoe K, Walsh K, Mehra MR | display-authors=etal| title=Social Worker-Aided Palliative Care Intervention in High-risk Patients With Heart Failure (SWAP-HF): A Pilot Randomized Clinical Trial. | journal=JAMA Cardiol | year= 2018 | volume= 3 | issue= 6 | pages= 516-519 | pmid=29641819 | doi=10.1001/jamacardio.2018.0589 | pmc=6128511 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29641819 }} </ref>''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B-R]])'' <nowiki>"</nowiki>
 
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Latest revision as of 13:58, 21 June 2022
Resident
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Congestive Heart Failure Microchapters

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ACC/AHA Guideline Recommendations

Initial and Serial Evaluation of the HF Patient
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Patients With a Prior MI
Sudden Cardiac Death Prevention
Surgical/Percutaneous/Transcather Interventional Treatments of HF
Patients at high risk for developing heart failure (Stage A)
Patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)
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Patients with refractory end-stage heart failure (Stage D)
Coordinating Care for Patients With Chronic HF
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Congestive heart failure end-of-life considerations

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Obstructive Sleep Apnea in the Patient with CHF
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahmoud Sakr, M.D. [2] ; Edzel Lorraine Co, D.M.D., M.D. [Mailto:efco@alum.up.edu.ph

2022 AHA/ACC/HFSA Guideline /2013 ACCF/AHA Guideline/2009 ACC/AHA Focused Update and 2005 Guidelines for the Diagnosis and Management of Heart Failure in the Adult (DO NOT EDIT) [1] [2][3]

Palliative and Supportive Care, Shared Decision-Making, and End-of-Life (DO NOT EDIT) [1][2][3]

Class I
"1.For all patients with HF, palliative and supportive care- including high-quality communication, conveyance of prognosis, clarifying goals of care, shared decision-making, symptom management, and caregiver support- should be provided to improve QOL and relieve suffering. [4](Level of Evidence: C-LD) "
"2. For patients with HF being considered for, or treated with, life-extending therapies, the option for discontinuation should be anticipated and discussed through the continuum of care, including at the time of initiation, and reassessed with changing medical conditions and shifting goals of care.[5][6] (Level of Evidence: C-LD) "
Class IIa
"1.For patients with HF- particularly stage D HF patients being evaluated for advanced therapies, patients requiring inotropic support or temporary mechanical support, patients experiencing uncontrolled symptoms, major medical decisions, or multimorbidity, frailty, and cognitive impairment - specialist palliative care consultation can be useful to improve QOL and relieve suffering. [7][8][9](Level of Evidence: B-R) "

Vote on and Suggest Revisions to the Current Guidelines


External Links

References

  1. ↑ 1.0 1.1 Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM; et al. (2022). "2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines". Circulation. 145 (18): e876–e894. doi:10.1161/CIR.0000000000001062. PMID 35363500 Check |pmid= value (help).
  2. ↑ 2.0 2.1 2.2 Yancy CW, Jessup M, Bozkurt B, Masoudi FA, Butler J, McBride PE; et al. (2013). "2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". J Am Coll Cardiol. doi:10.1016/j.jacc.2013.05.019. PMID 23747642.
  3. ↑ 3.0 3.1 3.2 Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation 119 (14):1977-2016.DOI:10.1161/CIRCULATIONAHA.109.192064 PMID:19324967
  4. ↑ Datla S, Verberkt CA, Hoye A, Janssen DJA, Johnson MJ (2019). "Multi-disciplinary palliative care is effective in people with symptomatic heart failure: A systematic review and narrative synthesis". Palliat Med. 33 (8): 1003–1016. doi:10.1177/0269216319859148. PMID 31307276.
  5. ↑ Goldstein N, Carlson M, Livote E, Kutner JS (2010). "Brief communication: Management of implantable cardioverter-defibrillators in hospice: A nationwide survey". Ann Intern Med. 152 (5): 296–9. doi:10.7326/0003-4819-152-5-201003020-00007. PMC 2832227. PMID 20194235.
  6. ↑ McIlvennan CK, Jones J, Allen LA, Swetz KM, Nowels C, Matlock DD (2016). "Bereaved Caregiver Perspectives on the End-of-Life Experience of Patients With a Left Ventricular Assist Device". JAMA Intern Med. 176 (4): 534–9. doi:10.1001/jamainternmed.2015.8528. PMID 26998594.
  7. ↑ Rogers JG, Patel CB, Mentz RJ, Granger BB, Steinhauser KE, Fiuzat M; et al. (2017). "Palliative Care in Heart Failure: The PAL-HF Randomized, Controlled Clinical Trial". J Am Coll Cardiol. 70 (3): 331–341. doi:10.1016/j.jacc.2017.05.030. PMC 5664956. PMID 28705314.
  8. ↑ Bekelman DB, Allen LA, McBryde CF, Hattler B, Fairclough DL, Havranek EP; et al. (2018). "Effect of a Collaborative Care Intervention vs Usual Care on Health Status of Patients With Chronic Heart Failure: The CASA Randomized Clinical Trial". JAMA Intern Med. 178 (4): 511–519. doi:10.1001/jamainternmed.2017.8667. PMC 5876807. PMID 29482218.
  9. ↑ O'Donnell AE, Schaefer KG, Stevenson LW, DeVoe K, Walsh K, Mehra MR; et al. (2018). "Social Worker-Aided Palliative Care Intervention in High-risk Patients With Heart Failure (SWAP-HF): A Pilot Randomized Clinical Trial". JAMA Cardiol. 3 (6): 516–519. doi:10.1001/jamacardio.2018.0589. PMC 6128511. PMID 29641819.
  10. ↑ Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, Deswal A, Drazner MH, Dunlay SM, Evers LR, Fang JC, Fedson SE, Fonarow GC, Hayek SS, Hernandez AF, Khazanie P, Kittleson MM, Lee CS, Link MS, Milano CA, Nnacheta LC, Sandhu AT, Stevenson LW, Vardeny O, Vest AR, Yancy CW (May 2022). "2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines". Circulation. 145 (18): e895–e1032. doi:10.1161/CIR.0000000000001063. PMID 35363499 Check |pmid= value (help).
  11. ↑ Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG et al. (2005) ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation 112 (12):e154-235. DOI:10.1161/CIRCULATIONAHA.105.167586PMID:16160202

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