TY - JOUR
TI - Imaging in patients with suspected acute heart failure: timeline approach position statement on behalf of the Heart Failure Association of the European Society of Cardiology
AU - Čelutkienė, J.
AU - Lainscak, M.
AU - Anderson, L.
AU - Gayat, E.
AU - Grapsa, J.
AU - Harjola, V.-P.
AU - Manka, R.
AU - Nihoyannopoulos, P.
AU - Filardi, P.P.
AU - Vrettou, R.
AU - Anker, S.D.
AU - Filippatos, G.
AU - Mebazaa, A.
AU - Metra, M.
AU - Piepoli, M.
AU - Ruschitzka, F.
AU - Zamorano, J.L.
AU - Rosano, G.
AU - Seferovic, P.
JO - European Journal of Heart Failure
PY - 2020
VL - 22
TODO - 2
SP - 181-195
PB - John Wiley and Sons Ltd
SN - null
TODO - 10.1002/ejhf.1678
TODO - ammonia n 13;  fluorodeoxyglucose f 18;  metaiodobenzylguanine i 123;  radioisotope;  unclassified drug, acute heart failure;  aortic disease;  Article;  cardiography;  cardiovascular magnetic resonance;  computed tomographic angiography;  computer assisted tomography;  coronary angiography;  coronary artery disease;  differential diagnosis;  disease severity;  dyspnea;  echocardiography;  heart function;  heart muscle ischemia;  heart ventricle function;  heart volume;  hemodynamics;  hospital admission;  hospital discharge;  hospital readmission;  human;  imaging;  invasive procedure;  lung congestion;  lung edema;  lung embolism;  point of care ultrasound;  positron emission tomography;  positron emission tomography-computed tomography;  practice guideline;  priority journal;  quantitative analysis;  single photon emission computed tomography;  thorax radiography;  transesophageal echocardiography;  valvular heart disease;  aftercare;  cardiology;  diagnostic imaging;  Europe;  heart failure;  medical society;  nuclear magnetic resonance imaging;  x-ray computed tomography, Aftercare;  Cardiology;  Coronary Angiography;  Europe;  Heart Failure;  Humans;  Magnetic Resonance Imaging;  Patient Discharge;  Societies, Medical;  Tomography, X-Ray Computed
TODO - Acute heart failure is one of the main diagnostic and therapeutic challenges in clinical practice due to a non-specific clinical manifestation and the urgent need for timely and tailored management at the same time. In this position statement, the Heart Failure Association aims to systematize the use of various imaging methods in accordance with the timeline of acute heart failure care proposed in the recent guidelines of the European Society of Cardiology. During the first hours of admission the point-of-care focused cardiac and lung ultrasound examination is an invaluable tool for rapid differential diagnosis of acute dyspnoea, which is highly feasible and relatively easy to learn. Several portable and stationary imaging modalities are being increasingly used for the evaluation of cardiac structure and function, haemodynamic and volume status, precipitating myocardial ischaemia or valvular abnormalities, and systemic and pulmonary congestion. This paper emphasizes the central role of the full echocardiographic examination in the identification of heart failure aetiology, severity of cardiac dysfunction, indications for specific heart failure therapy, and risk stratification. Correct evaluation of cardiac filling pressures and accurate prognostication may help to prevent unscheduled short-term readmission. Alternative advanced imaging modalities should be considered to assist patient management in the pre- and post-discharge phase, including cardiac magnetic resonance, computed tomography, nuclear studies, and coronary angiography. The Heart Failure Association addresses this paper to the wide spectrum of acute care and heart failure specialists, highlighting the value of all available imaging techniques at specific stages and in common clinical scenarios of acute heart failure. © 2019 The Authors. European Journal of Heart Failure © 2019 European Society of Cardiology
ER -