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The problem of decompensated heart failure : nomenclature, classification and risk stratification
FELKER GM; ADAMS KF; KONSTAM MA
AM HEART J , 2003, vol. 145, n° 2 SUPPL., p. S18-S25 Doc n°: 108677 Localisation : Documentation IRR Descripteurs : FA31 - INSUFFISANCE CARDIAQUE Despite its high prevalence and significant rates of associated morbidity and mortality, the syndrome of decompensated heart failure remains poorly defined and vastly understudied. Few high-quality epidemiologic studies, randomized controlled trials, or published guidelines are available to guide the management of this complex disease. In addition, there is no consensus definition of the clinical problem that it presents, no agreed upon nomenclature to describe its clinical features, and no recognized classification scheme for its patient population; all of which has contributed to the lack of therapeutic development in this critical arena of cardiovascular disease. This review outlines the scope of the problem and proposes a system of nomenclature and classification sufficiently simple for general acceptance among clinicians while still encompassing the heterogeneity of the patient population. It also defines the current understanding of strategies for risk stratification in the setting of decompensated heart failure. Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2003226770 |
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