TY - JOUR
T1 - Ambulatory management of worsening heart failure
T2 - Current strategies and future directions
AU - Wand, Alison L.
AU - Russell, Stuart D.
AU - Gilotra, Nisha A.
N1 - Publisher Copyright:
© 2021, Touch Medical Media. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Heart failure (HF) is a highly prevalent and morbid disease in the USA. The chronic, progressive course of HF is defined by periodic exacerbations of symptoms, described as ‘worsening heart failure’ (WHF). Previously, episodes of WHF have required hospitalization for intravenous diuretics; however, recent innovations in care delivery models for patients with HF have allowed a transition from the acute care setting to the ambulatory setting. The development of remote monitoring strategies, including device-based algorithms and implantable haemodynamic monitoring systems, has facilitated more advanced surveillance of patients, aiming to prevent the clinical deterioration that leads to hospitalization. Additionally, the establishment of multidisciplinary HF clinics has provided the setting and resources for the outpatient treatment of WHF, specifically the administration of intravenous diuretics. Here we review the current state of ambulatory HF management, including mechanisms for patient monitoring and treatment, and outline future opportunities for outpatient management of this patient population.
AB - Heart failure (HF) is a highly prevalent and morbid disease in the USA. The chronic, progressive course of HF is defined by periodic exacerbations of symptoms, described as ‘worsening heart failure’ (WHF). Previously, episodes of WHF have required hospitalization for intravenous diuretics; however, recent innovations in care delivery models for patients with HF have allowed a transition from the acute care setting to the ambulatory setting. The development of remote monitoring strategies, including device-based algorithms and implantable haemodynamic monitoring systems, has facilitated more advanced surveillance of patients, aiming to prevent the clinical deterioration that leads to hospitalization. Additionally, the establishment of multidisciplinary HF clinics has provided the setting and resources for the outpatient treatment of WHF, specifically the administration of intravenous diuretics. Here we review the current state of ambulatory HF management, including mechanisms for patient monitoring and treatment, and outline future opportunities for outpatient management of this patient population.
KW - Ambulatory treatment
KW - Heart failure
KW - Intravenous diuretics
KW - Outpatient treatment
KW - Remote monitoring
KW - Subcutaneous diuretics
KW - Telemonitoring
KW - Worsening heart failure
UR - http://www.scopus.com/inward/record.url?scp=85114722066&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85114722066&partnerID=8YFLogxK
U2 - 10.17925/HI.2021.15.1.49
DO - 10.17925/HI.2021.15.1.49
M3 - Review article
C2 - 36277316
AN - SCOPUS:85114722066
SN - 1826-1868
VL - 15
SP - 49
EP - 53
JO - Heart International
JF - Heart International
IS - 1
ER -