Management of acute decompensated heart failure in the emergency department.

W. Frank Peacock, John Allegra, Douglas Ander, Sean Collins, Deborah Diercks, Charles Emerman, J. Douglas Kirk, Randall C. Starling, Marc Silver, Richard Summers

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations


Heart failure, a disease of epidemic proportions, has a tremendous clinical and financial impact on the US health care system. With more than 5 million Americans diagnosed with heart failure and 5-year mortality approaching 50%, it is the most common cause of hospitalization in patients older than 65 years and is the single most expensive diagnosis in the US health care system. Because the average US hospital loses more than 1000 dollars per heart failure admission, effective therapies that decrease length of stay, reduce hospital costs, and prevent 30-day readmissions are needed. This article reviews the relevant pathophysiology of heart failure, discusses the newest diagnostic strategies for emergency department diagnoses, evaluates recent advances and effects of early aggressive therapies, and presents a suggested algorithm for the treatment of acutely decompensated heart failure in emergency departments.

Original languageEnglish (US)
Pages (from-to)3-18
Number of pages16
JournalCongestive heart failure (Greenwich, Conn.)
VolumeSuppl 1
StatePublished - 2003

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine


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