scholarly journals Acute heart failure in pregnancy: Importance of a timely multidisciplinary approach to recognition and management

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Sanoj Chacko ◽  
Joseph De Bono ◽  
Howard Marshall ◽  
Yumna B. Haseeb ◽  
Sohaib Haseeb ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Management ◽  
Multidisciplinary Approach ◽  
Acute Decompensated Heart Failure ◽  
Tertiary Care ◽  
Multidisciplinary Care ◽  
Decompensated Heart Failure ◽  
Peripartum Cardiomyopathy ◽  
Valvular Stenosis ◽  
Tertiary Care Institution

Abstract Increased cardiovascular demands of pregnancy may unmask occult diseases, such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy. We report a case of the emergency management and delivery of a young pregnant woman who presented with acute decompensated heart failure that was not immediately recognized. An emergency transfer to a tertiary care institution was arranged. Once diagnosed, the patient received multidisciplinary care shared between cardiologists, obstetricians, cardiac anesthetists, a neonatologist, and a midwife, resulting in good maternal and fetal outcomes.

The Impact of a Multidisciplinary Approach in the Management of Patients with Acute Decompensated Heart Failure

2009 ◽  
Vol 15 (6) ◽  
pp. S118
Author(s):  
Sara Tabtabai ◽  
Alfred Danielian ◽  
Bruce Bernstein ◽  
Sabeena Arora ◽  
Richard Soucier
Keyword(s):  
Heart Failure ◽  
Multidisciplinary Approach ◽  
Acute Decompensated Heart Failure ◽  
Decompensated Heart Failure ◽  
The Impact

Assessing Acute Decompensated Heart Failure – Strategies and Tools

2012 ◽  
Vol 8 (2) ◽  
pp. 128
Author(s):  
Ali Vazir ◽  
Martin R Cowie ◽  
◽  
Keyword(s):  
Heart Failure ◽  
Acute Decompensated Heart Failure ◽  
Pulse Contour Analysis ◽  
Decompensated Heart Failure ◽  
Rapid Onset ◽  
Clinical Syndrome ◽  
Response To Therapy ◽  
Contour Analysis ◽  
Physiological Variables ◽  
Co Morbidity

Acute heart failure – the rapid onset of, or change in, signs and/or symptoms of heart failure requiring urgent treatment – is a serious clinical syndrome, associated with high mortality and healthcare costs. History, physical examination and early 2D and Doppler echocardiography are crucial to the proper assessment of patients, and will help determine the appropriate monitoring and management strategy. Most patients are elderly and have considerable co-morbidity. Clinical assessment is key to monitoring progress, but a number of clinical techniques – including simple Doppler and echocardiographic tools, pulse contour analysis and impedance cardiography – can help assess the response to therapy. A pulmonary artery catheter is not a routine monitoring tool, but can be very useful in patients with complex physiology, in those who fail to respond to therapy as would be anticipated, or in those being considered for mechanical intervention. As yet, the serial measurement of plasma natriuretic peptides is of limited value, but it does have a role in diagnosis and prognostication. Increasingly, the remote monitoring of physiological variables by completely implanted devices is possible, but the place of such technology in clinical practice is yet to be clearly established.

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