Prof. Kenneth Dickstein,
The FOCUS session was lively and presented diverse but common clinical scenarios in patients presenting with acute HF. Prof. Mebazaa from Paris discussed the development of acute pulmonary oedema in a patient with acute hypertension on a background of chronic obstructive airways disease and symptomatic HF. Therapeutic options based on data available from such patients were debated. Prof. Metra from Brescia, IT, presented a patient who decompensated with the development of acute renal dysfunction following implantation of a CRT-D due to contrast-induced nephropathy. The proposals for appropriate management spanned a considerable spectrum, with divergent views expressed by the panel. Prof. Maiser from San Diego, USA, discussed a patient with ischemic cardiomyopathy and acute decompensation. The various potential roles of serial BNP assessment were discussed. The panel discussion was heated, but not always entirely serious, and the audience also participated actively in the debate. In summary, this session successfully addressed three frequently encountered clinical scenarios and demonstrated the diversity of management approaches advocated by the panel.
Clinical scenarios in acute heart failure
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