Heart Failure

Published: April 2017
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  • Key Points
  • Definitions
    • HFrEF and HFpEF
    • ACCF/AHA, NYHA, INTERMACS, and European functional classifications
  • Epidemiology
  • Assessment
    • History and Physical
    • Risk Scores
    • Diagnostic Tests
    • Biomarkers
      • Causes of Elevated Natriuretic Peptide
      • Recommendations for Biomarkers in Heart Failure
  • Invasive Evaluation and Non-invasive Imaging
  • Treatment Recommendations by ACCF/AHA Stage
    • Drugs
    • Devices
    • Inotropic Support
    • Mechanical Circulatory Support
    • Procedural Interventions
    • Transplantation
  • Management of Complications and Comorbidities
  • Transitions of Care
    • Care for Chronic Heart Failure
  • 30 Tables That Include:
    • Graded Treatment Recommendations
    • Drugs
    • Strategies to Achieve Optimal Guideline-Directed Medical Therapy
    • Outcome Measures
  • Algorithms
    • Management by Stage
    • Stage C Management
    • Indications for Cardiac Resynchronization Therapy
    • Management of New Atrial Fibrillation
    • Management of Recurrent Atrial Fibrillation
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The American College of Cardiology (ACC) continues to transform quality cardiovascular care and improve heart health after more than 60 years of existence through its mission, vision and values. The College is proud of its efforts to bring evidence-based clinical care into everyday practice.

Our mission is to build healthier lives, free of cardiovascular diseases and stroke. That single purpose drives all we do. AHA's Professional Membership is a made up of a robust group of cardiovascular professionals who participate in discovery and dissemination of science.

The Heart Failure Society of America, Inc. (HFSA) represents the first organized effort by heart failure experts from the Americas to provide a forum for all those interested in heart function, heart failure, and congestive heart failure (CHF) research...


This pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.


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