The new ESC Guidelines: Focus on acute heart failure. When device therapy or intervention is needed? Mariell Jessup MD FAHA, FACC, FESC Professor of Medicine University of Pennsylvania Philadelphia, Pennsylvania, USA www.escardio.org/guidelines
www.escardio.org/guidelines
+ ACS www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
Ultrafiltration is not an easy answer. www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
www.escardio.org/guidelines
Take home messages about AHF intervention • Focus on the patient with hypotension • Routine hemodynamic assessment is not necessary but helpful when it is not clear what should be done next. • Not enough evidence to help the choice between IABP or other non- durable MCS. • A critical aspect is an accurate history of co-morbidities. • Multi-disciplinary team input is mandatory. www.escardio.org/guidelines
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