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http://hdl.handle.net/1942/41730
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DC Field | Value | Language |
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dc.contributor.author | Vazir, Ali | - |
dc.contributor.author | Kapelios, Chris J. | - |
dc.contributor.author | Agaoglu, Elif | - |
dc.contributor.author | Metra, Marco | - |
dc.contributor.author | Lopatin, Yury | - |
dc.contributor.author | Seferovic, Petar | - |
dc.contributor.author | MULLENS, Wilfried | - |
dc.contributor.author | Filippatos, Gerasimos | - |
dc.contributor.author | Rosano, Giuseppe | - |
dc.contributor.author | Coats, Andrew J. S. | - |
dc.contributor.author | Chioncel, Ovidiu | - |
dc.date.accessioned | 2023-11-10T12:59:00Z | - |
dc.date.available | 2023-11-10T12:59:00Z | - |
dc.date.issued | 2023 | - |
dc.date.submitted | 2023-11-10T12:56:27Z | - |
dc.identifier.citation | EUROPEAN JOURNAL OF HEART FAILURE, 25 (9) , p. 1555 -1570 | - |
dc.identifier.issn | 1388-9842 | - |
dc.identifier.uri | http://hdl.handle.net/1942/41730 | - |
dc.description.abstract | Aims Decongestion strategies for acute decompensated heart failure (ADHF) characterized by volume overload differ widely. The aim of this independent international academic web-based survey was to capture the therapeutic strategies that physicians use to treat ADHF and to assess differences in therapeutic approaches between cardiologists versus non-cardiologists. Methods and results Physicians were invited to complete a web-based questionnaire, capturing anonymized data on physicians' characteristics and treatment preferences based on a hypothetical clinical scenario of a patient hospitalized with ADHF. A total of 641 physicians from 60 countries participated. A wide variation in the management of the patient was observed. There was conservative use of diuretics, i.e. only 7% started intravenous furosemide at a dose >= 2 times the baseline oral dose, and infrequent use of ultrasound in assessing congestion (20.4%). Spot urinary sodium was infrequently or never measured by >= 85% of physicians. A third considered a patient with ongoing oedema as being stabilized. There were significant differences between cardiologists and non-cardiologists in the management of ADHF, the targets for daily body weight loss and urine output, diuretic escalation strategies (66.3% vs. 40.7% would escalate diuresis by adding a thiazide) and assessment of response to treatment (27.0% vs. 52.9% considered patients with minimal congestion as stabilized). Conclusions There is substantial variability amongst physicians and between cardiologists and non-cardiologists in the management of patients with ADHF, with regard to clinical parameters used to tailor treatment, treatment goals, diuretic dosing and escalation strategies. | - |
dc.description.sponsorship | We would like to thank all of the presidents of the national heart failure societies who help disseminate the survey, and the ESC statistical department. Conflict of interest: none declared. | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.rights | 2023 European Society of Cardiology | - |
dc.subject.other | Acute heart failure | - |
dc.subject.other | Diuretics | - |
dc.title | Decongestion strategies in patients presenting with acutely decompensated heart failure: A worldwide survey among physicians | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 1570 | - |
dc.identifier.issue | 9 | - |
dc.identifier.spage | 1555 | - |
dc.identifier.volume | 25 | - |
local.format.pages | 16 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Vazir, A (corresponding author), Imperial Coll London, Royal Brompton Hosp, NHLI, Sydney St, London SW3 6NP, England. | - |
dc.description.notes | a.vazir@imperial.ac.uk | - |
local.publisher.place | 111 RIVER ST, HOBOKEN 07030-5774, NJ USA | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1002/ejhf.2985 | - |
dc.identifier.pmid | 37565377 | - |
dc.identifier.isi | 001070018400001 | - |
dc.contributor.orcid | /0000-0002-3197-3628 | - |
dc.identifier.eissn | 1879-0844 | - |
local.provider.type | wosris | - |
local.description.affiliation | [Vazir, Ali; Kapelios, Chris J.; Agaoglu, Elif] Royal Brompton Hosp, Royal Brompton & Harefield Hosp, Guys & St Thomas NHS Fdn Trust, London, England. | - |
local.description.affiliation | [Vazir, Ali] Imperial Coll London, Natl Heart & Lung Inst, London, England. | - |
local.description.affiliation | [Kapelios, Chris J.] Natl & Kapodistrian Univ Athens, Athens, Greece. | - |
local.description.affiliation | [Metra, Marco] Univ Brescia, ASST Spedali Civili, Dept Med & Surg Specialties, Cardiol,Radiol Sci & Publ Hlth, Brescia, Italy. | - |
local.description.affiliation | [Lopatin, Yury] Volgograd State Med Univ, Reg Cardiol Ctr, Volgograd, Russia. | - |
local.description.affiliation | [Seferovic, Petar] Univ Belgrade, Fac Med, Belgrade, Serbia. | - |
local.description.affiliation | [Mullens, Wilfred] Ziekenhuis Oost Limburg, Dept Cardiol, Genk, Belgium. | - |
local.description.affiliation | [Mullens, Wilfred] Hasselt Univ, Biomed Res Inst, Fac Med & Life Sci, Diepenbeek, Belgium. | - |
local.description.affiliation | [Filippatos, Gerasimos] Natl & Kapodistrian Univ Athens, Attikon Univ Hosp Athens, Sch Med, Athens, Greece. | - |
local.description.affiliation | [Rosano, Giuseppe] Univ London, St Georges Univ Hosp NHS Trust, London, England. | - |
local.description.affiliation | [Coats, Andrew J. S.] Univ Warwick, Coventry, England. | - |
local.description.affiliation | [Chioncel, Ovidiu] Univ Med & Pharm Carol Davila, Emergency Inst Cardiovasc Dis Prof CC Iliescu, Bucharest, Romania. | - |
local.description.affiliation | [Vazir, Ali] Imperial Coll London, Royal Brompton Hosp, NHLI, Sydney St, London SW3 6NP, England. | - |
local.uhasselt.international | yes | - |
item.fullcitation | Vazir, Ali; Kapelios, Chris J.; Agaoglu, Elif; Metra, Marco; Lopatin, Yury; Seferovic, Petar; MULLENS, Wilfried; Filippatos, Gerasimos; Rosano, Giuseppe; Coats, Andrew J. S. & Chioncel, Ovidiu (2023) Decongestion strategies in patients presenting with acutely decompensated heart failure: A worldwide survey among physicians. In: EUROPEAN JOURNAL OF HEART FAILURE, 25 (9) , p. 1555 -1570. | - |
item.contributor | Vazir, Ali | - |
item.contributor | Kapelios, Chris J. | - |
item.contributor | Agaoglu, Elif | - |
item.contributor | Metra, Marco | - |
item.contributor | Lopatin, Yury | - |
item.contributor | Seferovic, Petar | - |
item.contributor | MULLENS, Wilfried | - |
item.contributor | Filippatos, Gerasimos | - |
item.contributor | Rosano, Giuseppe | - |
item.contributor | Coats, Andrew J. S. | - |
item.contributor | Chioncel, Ovidiu | - |
item.fulltext | With Fulltext | - |
item.accessRights | Restricted Access | - |
crisitem.journal.issn | 1388-9842 | - |
crisitem.journal.eissn | 1879-0844 | - |
Appears in Collections: | Research publications |
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Decongestion strategies in patients presenting with acutely decompensated heart failure_ A worldwide survey among physicians.pdf Restricted Access | Published version | 1.02 MB | Adobe PDF | View/Open Request a copy |
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