Heart failure & cardiomyopathies
Decongestion Strategies In Patients Presenting with Acutely Decompensated Heart Failure: A Worldwide Survey Among Physicians
Authors' conclusion
There is substantial variability amongst physicians and between cardiologists and non-cardiologists in the management of patients with ADHF, with regard to clinical parameters used to tailor treatment, treatment goals, diuretic dosing and escalation strategies.
Study context
- Population
- Physicians from 60 countries treating acute decompensated HF
- Participants
- 641 physicians60 countries
- Exposure
- Cardiologists vs non-cardiologists
- Outcome
- Decongestion strategies in acute decompensated heart failure (ADHF)
Methodological detailsinternational web-based survey, hypothetical clinical scenario
- International web-based survey
- Hypothetical clinical scenario
Main finding
As reported in the abstract
- Started IV furosemide at ≥2 times baseline oral dose
- 7%
- Ultrasound used to assess congestion
- 20.4%
- Spot urinary sodium infrequently or never measured
- ≥85%
- Considered a patient with ongoing oedema as stabilized
- A third
Observational data: associations, not effects.
Further findings
Diuretic escalation by adding a thiazide
Considered patients with minimal congestion as stabilized
Targets for daily body weight loss and urine output
- Significant differences between cardiologists and non-cardiologists
Original publication
Decongestion Strategies In Patients Presenting with Acutely Decompensated Heart Failure: A Worldwide Survey Among Physicians. Eur J Heart Fail. Published 7 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →