The Acute Heart Failure study group was created in order to effectively complement and extend other activities of the Acute Cardiovascular Care Association as well as activities of several other important organisations such as the Heart Failure Association and the GREAT network.
Christian Mueller, Basel, Switzerland, Co-Chair
A Consensus Workshop on Acute Heart Failure was organised during the ACC Congress 2013. It gathered participants who have daily interaction with AHF patients and have strong cases to present, highlighting differences in care in AHF that are present even in “expert centres” represented around the table. Every AHF study group member prepared a short case presentation (6-10 slides, 15min) that was based on a real patient he/she has personally cared for and which was associated to the expert himself/herself with at least one major uncertainty regarding a management decision (e.g. admit yes/no; CCU yes/no, IV nitroglycerin yes/no, stop Vasodilator after blood pressure drop yes/no, antibiotics yes/no, cath lab yes/no; right heart cath yes/no….). This question was addressed to the other study group members who then vote for one of the options provided. All AHF study group members participated in the voting and the following discussions. The more diverse the voting, the greater the uncertainty. We got a quantitative feeling about the huge differences in care in AHF that are present even in “expert centers” represented around the table. The outcome, together with a web-based survey will serve as the basis to build consensus and/or initiate research activities in order to advance the field.
Access the recording here
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