Collins Sean P, Storrow Alan B, Levy Phillip D, Albert Nancy, Butler Javed, Ezekowitz Justin A, Felker G Michael, Fermann Gregory J, Fonarow Gregg C, Givertz Michael M, Hiestand Brian, Hollander Judd E, Lanfear David E, Pang Peter S, Peacock W Frank, Sawyer Douglas B, Teerlink John R, Lenihan Daniel J
The Department of Emergency Medicine, Vanderbilt University, Nashville Veterans Affairs Medical Center, Nashville, TN.
Acad Emerg Med. 2015 Jan;22(1):94-112. doi: 10.1111/acem.12538. Epub 2014 Nov 25.
Heart failure (HF) afflicts nearly 6 million Americans, resulting in 1 million emergency department (ED) visits and over 1 million annual hospital discharges. The majority of inpatient admissions originate in the ED; thus, it is crucial that emergency physicians and other providers involved in early management understand the latest developments in diagnostic testing, therapeutics, and alternatives to hospitalization. This article discusses contemporary ED management as well as the necessary next steps for ED-based acute HF research.
心力衰竭(HF)折磨着近600万美国人,导致100万人次急诊就诊以及每年超过100万次出院。大多数住院患者最初来自急诊;因此,参与早期管理的急诊医生和其他医疗人员了解诊断检测、治疗方法以及住院替代方案的最新进展至关重要。本文讨论了当代急诊管理以及基于急诊的急性心力衰竭研究的必要后续步骤。