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COMMON CAUSES
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Where the heart cannot pump enough blood around the body
Harrisons Principles of Internal Medicine, Seventeenth Edition pages 1442 - 1455. Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73
COMMON CAUSES
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Where the heart cannot pump enough blood around the body This is known as heart failure
Correct
A
Harrisons Principles of Internal Medicine, Seventeenth Edition pages 1442 - 1455. Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73
COMMON CAUSES
MORTALITY RATES
ANNUAL STATISTICS
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Where the heart cannot pump enough blood around the body
Where the hearts electrical system beats irregularly This is known as arrhythmia
Incorrect
B
Harrisons Principles of Internal Medicine, Seventeenth Edition pages 1442 - 1455. Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73
COMMON CAUSES
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Plaque
Where the heart cannot pump enough blood around the body
Where blocked or clogged arteries limit flow of blood to the heart This is known as atherosclerosis
Incorrect
C
Harrisons Principles of Internal Medicine, Seventeenth Edition pages 1442 - 1455. Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73
COMMON CAUSES
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ANNUAL STATISTICS
COST
MYTH OR FACT
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Where the heart cannot pump enough blood around the body
Where the heart is starved of blood and oxygen, usually by a clot This is known as a heart attack
Incorrect
D
Harrisons Principles of Internal Medicine, Seventeenth Edition pages 1442 - 1455. Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73
COMMON CAUSES
MORTALITY RATES
ANNUAL STATISTICS
COST
MYTH OR FACT
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URGENT NEED
BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
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Excess alcohol
BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
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BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
MORTALITY RATES
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COST
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BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
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ANNUAL STATISTICS
COST
MYTH OR FACT
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BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
MORTALITY RATES
ANNUAL STATISTICS
COST
MYTH OR FACT
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URGENT NEED
BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
MORTALITY RATES
ANNUAL STATISTICS
COST
MYTH OR FACT
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URGENT NEED
BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
MORTALITY RATES
ANNUAL STATISTICS
COST
MYTH OR FACT
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Heart attack
BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
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URGENT NEED
BHF website http://bit.ly/g1fOpW Accessed August 2013. AHA website http://bit.ly/d54MDM Accessed August 2013
COMMON CAUSES
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COST
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Heart failure is a major and growing public health problem select the silhouettes below
COMMON CAUSES
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0.2%
For people aged 40 and older, the lifetime risk of developing heart failure is 1 in 5
Incorrect
Heart failure is a major and growing public health problem select the silhouettes below
COMMON CAUSES
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2%
For people aged 40 and older, the lifetime risk of developing heart failure is 1 in 5
Incorrect
Heart failure is a major and growing public health problem select the silhouettes below
COMMON CAUSES
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20%
For aged 7080, the older, lifetime For people people aged 40 and risk of developing failure the lifetime risk ofheart developing is up to 1 in 5 in Europe
Correct
heart failure is 1 in 5
Heart failure is a major and growing public health problem select the silhouettes below
Dickstein et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. European Heart Journal . 2008;29:2388442
COMMON CAUSES
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ANNUAL STATISTICS
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MYTH OR FACT
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Heart failure is a major and growing public health problem select the silhouettes below
More than 20 million people suffer from heart failure worldwide and this number is increasing
Zannad F. et al. Heart failure burden and therapy. Europace. 2009;11:v1-v9. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73
20
million
worldwide
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Heart failure is a major and growing public health problem select the silhouettes below
8,000,000
new cases by
2030
By 2030, over eight million people in the United States (1 in every 33) will have heart failure
Heidenreich et al. Forecasting the Impact of Heart Failure in the United States. Circulation: Heart Failure . 2013;6:606-619
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Heart failure is a major and growing public health problem select the silhouettes below
An aging population and an increase in the number of people surviving heart attacks both contribute to the rise in heart failure
Schocken et al. AHA Scientific Statement: Prevention of Heart Failure. Circulation . 2008;117:2544-2565. Mosterd A, Hoes, A. Clinical epidemiology of heart failure. Heart . 2007;93:1137-1146
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In
COMMON CAUSES
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ANNUAL STATISTICS
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1
DOWNWARD SPIRAL
Every episode results in worsening health and damage to vital organs, such as the heart and kidneys, which decreases the chance of the patient surviving another episode
Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Irish Heart Foundation. Living well with heart failure patient booklet http://bit.ly/11FDqR6 Accessed August 2013. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73. Gheorghiade M et al. Rehospitalization for heart failure: problems and perspectives. Journal of the American College of Cardiology . 2013;61(4):391-403
COMMON CAUSES
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ANNUAL STATISTICS
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MYTH OR FACT
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1
DOWNWARD SPIRAL
Every episode results in worsening health and damage to vital organs, such as the heart and kidneys, which decreases the chance of the patient surviving another episode
Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Irish Heart Foundation. Living well with heart failure patient booklet http://bit.ly/11FDqR6 Accessed August 2013. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73. Gheorghiade M et al. Rehospitalization for heart failure: problems and perspectives. Journal of the American College of Cardiology . 2013;61(4):391-403. Mosterd A, Hoes, A. Clinical epidemiology of heart failure. Heart . 2007;93:1137-1146
COMMON CAUSES
MORTALITY RATES
ANNUAL STATISTICS
COST
MYTH OR FACT
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URGENT NEED
1
DOWNWARD SPIRAL
Every episode results in worsening health and damage to vital organs, such as the heart and kidneys, which decreases the chance of the patient surviving another episode
Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Irish Heart Foundation. Living well with heart failure patient booklet http://bit.ly/11FDqR6 Accessed August 2013. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73. Gheorghiade M et al. Rehospitalization for heart failure: problems and perspectives. Journal of the American College of Cardiology . 2013;61(4):391-403. Mosterd A, Hoes, A. Clinical epidemiology of heart failure. Heart . 2007;93:1137-1146. Felker et al. Clinical trial of pharmacological therapies in acute heart failure syndromes. Circulation: Heart Failure . 2010;3:314-325
COMMON CAUSES
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ANNUAL STATISTICS
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1
DOWNWARD SPIRAL
Every episode results in worsening health and damage to vital organs, such as the heart and kidneys, which decreases the chance of the patient surviving another episode
3
of patients do not survive the initial episode
34%
Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Irish Heart Foundation. Living well with heart failure patient booklet http://bit.ly/11FDqR6 Accessed August 2013. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73. Gheorghiade M et al. Rehospitalization for heart failure: problems and perspectives. Journal of the American College of Cardiology . 2013;61(4):391-403. Mosterd A, Hoes, A. Clinical epidemiology of heart failure. Heart . 2007;93:1137-1146. Felker et al. Clinical trial of pharmacological therapies in acute heart failure syndromes. Circulation: Heart Failure . 2010;3:314-325. Weintraub et al. Acute heart failure syndromes. Circulation . 2010;122:1975-1996
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1
DOWNWARD SPIRAL
2030%
Every episode results in worsening health and damage to vital organs, such as the heart and kidneys, which decreases the chance of the patient surviving another episode
3
of patients do not survive the initial episode
34%
Zannad F. et al. Heart failure burden and therapy. Europace . 2009;11:v1-v9. Irish Heart Foundation. Living well with heart failure patient booklet http://bit.ly/11FDqR6 Accessed August 2013. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73. Gheorghiade M et al. Rehospitalization for heart failure: problems and perspectives. Journal of the American College of Cardiology . 2013;61(4):391-403. Mosterd A, Hoes, A. Clinical epidemiology of heart failure. Heart . 2007;93:1137-1146. Felker et al. Clinical trial of pharmacological therapies in acute heart failure syndromes. Circulation: Heart Failure . 2010;3:314-325. Weintraub et al. Acute heart failure syndromes. Circulation . 2010;122:1975-1996. Harrisons Principles of Internal Medicine, Seventeenth Edition pages 1442 - 1455. National heart failure audit: April 2010 March 2011, NICOR and The British Society for Heart Failure, commissioned by the Healthcare Quality Improvement Partnership (HQIP). OConnor M et al. Causes of death and rehospitalization in patients hospitalized with worsening heart failure and reduced left ventricular ejection fraction. American Heart Journal . 2010;159(5): 842-849. Hunt S et al. Focused update incorporated into the ACC/AHA 2005. Circulation . 2009;119:e391-e479
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Patients with acute heart failure may suffer an increasing number of episodes as their condition deteriorates, leading to frequent hospitalization, a downward spiral in health, and a high rate of mortality
MORTALITY
Acute episode
Harrisons Principles of Internal Medicine, Seventeenth Edition pages 1442 - 1455. National heart failure audit: April 2010 March 2011, NICOR and The British Society for Heart Failure, commissioned by the Healthcare Quality Improvement Partnership (HQIP). OConnor M et al. Causes of death and rehospitalization in patients hospitalized with worsening heart failure and reduced left ventricular ejection fraction. American Heart Journal . 2010;159(5): 842-849. Hunt S et al. Focused update incorporated into the ACC/AHA 2005. Circulation . 2009;119:e391-e479. Weintraub et al. Acute heart failure syndromes. Circulation . 2010;122:1975-1996. Alla et al. Epidemiology of acute heart failure syndromes. Heart Fail Rev . 2007;12:915. Cleland et al. The EuroHeart Failure survey programme a survey on the quality of care among patients with heart failure in Europe. European Heart Journal . 2003;24:442636. Gheorghiade et al. Pathophysiologic targets in the early phase of acute heart failure syndromes. American Journal of Cardiology . 2005;96:11G17G
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Each year around acute heart failure (AHF) episodes happen in the US and EU alone; this is expected to increase further as the population ages.
3.5 million
If everyone in the world with heart failure gathered in one country, it would be about the population of Australia
Lined up end to end, the number of ambulances for every AHF patient taken to the hospital in a single year would stretch nearly 21,000 km almost as long as the Great Wall of China
21,000 km
Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology . 2009;53(7):557-73
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Answer
Answer
Answer
Lloyd-Jones et al. Heart disease and stroke statistics--2010 update: a report from the American Heart Association. Circulation . 2010;121:e46-215. Neumann et al. Heart failure: the commonest reason for hospitalization in Germany medical and economic perspectives. Dtsch Arztebl Int . 2009;106:26975. Berry et al. Economics of chronic heart failure. European Journal of Heart Failure . 2001;3:283-291. Stewart et al. The current cost of heart failure to the National Health Service in the UK. European Journal of Heart Failure . 2002;4:361-371. Forman et al. Influence of age on the management of heart failure. American Heart Journal . 2009;157:1010-1017. Healthcare Cost and Utilization Project 2009 http://1.usa.gov/s083eF Accessed August 2013
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Answer
Answer
Answer
and growing
45 billion
Over
Lloyd-Jones et al. Heart disease and stroke statistics--2010 update: a report from the American Heart Association. Circulation . 2010;121:e46-215. Neumann et al. Heart failure: the commonest reason for hospitalization in Germany medical and economic perspectives. Dtsch Arztebl Int . 2009;106:26975. Berry et al. Economics of chronic heart failure. European Journal of Heart Failure . 2001;3:283-291. Stewart et al. The current cost of heart failure to the National Health Service in the UK. European Journal of Heart Failure . 2002;4:361-371. Forman et al. Influence of age on the management of heart failure. American Heart Journal . 2009;157:1010-1017. Healthcare Cost and Utilization Project 2009 http://1.usa.gov/s083eF Accessed August 2013
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Answer
Answer
Answer
of total healthcare budget in many countries is spent on the management of heart failure
~ 2%
Lloyd-Jones et al. Heart disease and stroke statistics--2010 update: a report from the American Heart Association. Circulation . 2010;121:e46-215. Neumann et al. Heart failure: the commonest reason for hospitalization in Germany medical and economic perspectives. Dtsch Arztebl Int . 2009;106:26975. Berry et al. Economics of chronic heart failure. European Journal of Heart Failure . 2001;3:283-291. Stewart et al. The current cost of heart failure to the National Health Service in the UK. European Journal of Heart Failure . 2002;4:361-371. Forman et al. Influence of age on the management of heart failure. American Heart Journal . 2009;157:1010-1017. Healthcare Cost and Utilization Project 2009 http://1.usa.gov/s083eF Accessed August 2013. Dickstein et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. European Heart Journal . 2008;29;23882442
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Answer
Answer
Answer
<10%
Lloyd-Jones et al. Heart disease and stroke statistics--2010 update: a report from the American Heart Association. Circulation . 2010;121:e46-215. Neumann et al. Heart failure: the commonest reason for hospitalization in Germany medical and economic perspectives. Dtsch Arztebl Int . 2009;106:26975. Berry et al. Economics of chronic heart failure. European Journal of Heart Failure . 2001;3:283-291. Stewart et al. The current cost of heart failure to the National Health Service in the UK. European Journal of Heart Failure . 2002;4:361-371. Forman et al. Influence of age on the management of heart failure. American Heart Journal . 2009;157:1010-1017. Healthcare Cost and Utilization Project 2009 http://1.usa.gov/s083eF Accessed August 2013
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MYTH OR FACT
Cancer
deaths
Heart failure
deaths
Acute heart failure patients have a better prognosis than cancer patients
Myth or Fact ?
Myth or Fact ?
Myth or Fact ?
COMMON CAUSES
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MYTH OR FACT
Heart failure
deaths
Cancer
deaths
Acute heart failure patients have a better prognosis than cancer patients
Myth or Fact ?
Myth or Fact ?
Myth or Fact ?
Myth
Acute heart failure causes more deaths than some advanced cancers, including breast and bowel cancer
Stewart et al. More malignant than cancer? Five-year survival following a first admission for heart failure. European Journal of Heart Failure . 2001;3:315-322
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MYTH OR FACT
Cancer
deaths
Heart failure
deaths
Acute heart failure patients have a better prognosis than cancer patients
Myth or Fact ?
Myth or Fact ?
Myth or Fact ?
Myth
Despite the incidence, only 3% of the general public in Europe can identify the signs and symptoms of heart failure
Remme et al. Public awareness of heart failure in Europe: first results from SHAPE. European Heart Journal . 2005;26:2413-2421
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MYTH OR FACT
Cancer
deaths
Heart failure
deaths
Acute heart failure patients have a better prognosis than cancer patients
Myth or Fact ?
Myth or Fact ?
Myth or Fact ?
Myth
There is a widespread misconception that heart failure is a man's disease. But heart failure is also a devastating health problem for women
Cleveland clinic: Heart Failure & women http://bit.ly/qw4pEv Accessed August 2013
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Option
Option
Option
Cowie M et al. Acute heart failure a call to action. British Journal of Cardiology . 2013;20(suppl 2):S1-S11. Hunt S et al. Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults. Circulation . 2009;119:e391-e479. McMurray et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. European Heart Journal . 2012;33:1787-1847. Gheorghiade et al. Acute Heart Failure Syndromes: Current State and Framework for Future Research. Circulation . 2005;112:3958-3968
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IMMEDIATE: Option Treat symptoms Help patients breathe Reduce fluid build-up Diuretics Vasodilators Oxygen therapy Inotropes
Option
Option
Cowie M et al. Acute heart failure a call to action. British Journal of Cardiology . 2013;20(suppl 2):S1-S11. Hunt S et al. Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults. Circulation . 2009;119:e391-e479. McMurray et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. European Heart Journal . 2012;33:1787-1847. Gheorghiade et al. Acute Heart Failure Syndromes: Current State and Framework for Future Research. Circulation . 2005;112:3958-3968
COMMON CAUSES
MORTALITY RATES
ANNUAL STATISTICS
COST
MYTH OR FACT
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Option
Option
Option
Cowie M et al. Acute heart failure a call to action. British Journal of Cardiology . 2013;20(suppl 2):S1-S11. Hunt S et al. Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults. Circulation . 2009;119:e391-e479. McMurray et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. European Heart Journal . 2012;33:1787-1847. Gheorghiade et al. Acute Heart Failure Syndromes: Current State and Framework for Future Research. Circulation . 2005;112:3958-3968
COMMON CAUSES
MORTALITY RATES
ANNUAL STATISTICS
COST
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Option
Option
Cowie M et al. Acute heart failure a call to action. British Journal of Cardiology . 2013;20(suppl 2):S1-S11. Hunt S et al. Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults. Circulation . 2009;119:e391-e479. McMurray et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. European Heart Journal . 2012;33:1787-1847. Gheorghiade et al. Acute Heart Failure Syndromes: Current State and Framework for Future Research. Circulation . 2005;112:3958-3968
COMMON CAUSES
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ANNUAL STATISTICS
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MYTH OR FACT
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URGENT NEED
NEW TREATMENTS
RELIEVE SYMPTOMS
PROTECT ORGANS