Heart Failure in Adults

[See Emergent Management algorithm]

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Source: Institute for Clinical Systems Improvement (ICSI). Heart failure in adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Aug. 119 p. Heart Failure in Adults Signs and symptoms of heart failure (excluding acute coronary syndrome). A A = Annotation Initial evaluation. A Unstable signs and symptoms requiring emergent management? A See Emergent Management algorithm (next page) Admit to hospital if necessary. A Initiate heart failure management. A CAD known or suspected and potential revascularization candidate? A Work-up and/or stress test. A Results positive? A Treat secondary causes of HF and significant comorbid conditions and risk factors. A Pharmacologic management. A Non-pharmacologic management. A Revascularization candidate? A Symptom control satisfactory? A Consider specialty referral/out of guideline *device/surgical. *ventricular assist devices. *continuous infusion. *hospice. A Ongoing assessment of response to treatment and evaluation for symptom exacerbation. A All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.