The new ESC Guidelines: Focus on acute heart failure. When device - PowerPoint PPT Presentation
The new ESC Guidelines: Focus on acute heart failure. When device therapy or intervention is needed? Mariell Jessup MD FAHA, FACC, FESC Professor of Medicine University of Pennsylvania Philadelphia, Pennsylvania, USA
The new ESC Guidelines: Focus on acute heart failure. When device therapy or intervention is needed? Mariell Jessup MD FAHA, FACC, FESC Professor of Medicine University of Pennsylvania Philadelphia, Pennsylvania, USA www.escardio.org/guidelines
www.escardio.org/guidelines
+ ACS www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
Ultrafiltration is not an easy answer. www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
Take home messages about AHF intervention • Focus on the patient with hypotension • Routine hemodynamic assessment is not necessary but helpful when it is not clear what should be done next. • Not enough evidence to help the choice between IABP or other non- durable MCS. • A critical aspect is an accurate history of co-morbidities. • Multi-disciplinary team input is mandatory. www.escardio.org/guidelines
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