Author/Editor		Harjola, Veli-Pekka; Parissis, John T; Celutkiene, Jelena; Chioncel, Ovidiu; Collins, Sean P.; Backer, Daniel De; Filippatos, Gerasimos; Gayat, Etienne; Lainščak, Mitja; Hill, Loreena
Title		Comprehensive in-hospital monitoring in acute heart failure
Type		članek
Vol. and No.		Letnik 20, št. 7
Publication year		2018
Volume		str. 1081-1099
ISSN		1388-9842 - European journal of heart failure
Language		eng
Abstract		This paper provides a practical clinical application of guideline recommendations relating to the inpatient monitoring of patients with acute heart failure, through the evaluation of various clinical, biomarker, imaging, invasive and non-invasive approaches. Comprehensive inpatient monitoring is crucial to the optimal management of acute heart failure patients. The European Society of Cardiology heart failure guidelines provide recommendations for the inpatient monitoring of acute heart failure, but the level of evidence underpinning most recommendations is limited. Many tools are available for the in-hospital monitoring of patients with acute heart failure, and each plays a role at various points throughout the patient's treatment course, including the emergency department, intensive care or coronary care unit, and the general ward. Clinical judgment is the preeminent factor guiding application of inpatient monitoring tools, as the various techniques have different patient population targets. When applied appropriately, these techniques enable decision making. However, there is limited evidence demonstrating that implementation of these tools improves patient outcome. Research priorities are identified to address these gaps in evidence. Future research initiatives should aim to identify the optimal in-hospital monitoring strategies that decrease morbidity and prolong survival in patients with acute heart failure.
Keywords		srčno popuščanje opazovanje bolniki heart failure monitoring inpatient