IMR Press / RCM / Volume 3 / Issue S4 / pii/1561516745164-1806117331

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on as a courtesy and upon agreement with MedReviews, LLC.

Open Access Review
Rapid Optimization: Strategies for Optimal Care of Decompensated Congestive Heart-Failure Patients in the Emergency Department
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1 Department of Emergency Medicine, Cleveland Clinic Foundation, Cleveland, OH
Rev. Cardiovasc. Med. 2002, 3(S4), 41–48;
Published: 20 August 2002
Sooner or later all heart failure patients will present to the emergency department for medical attention. The American demographic trend of a skyrocketing elderly population coupled with the current heart-failure epidemic means that strategies optimizing emergency department care of heart failure are needed. Safe and effective management has the potential to decrease hospitalizations and intensive care unit admissions, prevent readmissions, and improve the quality of life in the heart-failure patient, as well as relieving some of the economic burden of heart-failure management from the U.S. medical care system. The emergency department observation unit provides a successful venue for the management of decompensated heart failure, and nesiritide offers the promise of shorter hospitalizations, improved quality of life, and better symptom resolution than standard therapy.
Heart failure
B-type natriuretic peptide
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