Heart Failure Reviews

, Volume 23, Issue 4, pp 597–607 | Cite as

Expanded algorithm for managing patients with acute decompensated heart failure

  • Joyce N. Njoroge
  • Baljash Cheema
  • Andrew P. Ambrosy
  • Stephen J. Greene
  • Sean P. Collins
  • Muthiah Vaduganathan
  • Alexandre Mebazaa
  • Ovidiu Chioncel
  • Javed Butler
  • Mihai Gheorghiade


Heart failure is a complex disease process, the manifestation of various cardiac and noncardiac abnormalities. General treatment approaches for heart failure have remained the same over the past decades despite the advent of novel therapies and monitoring modalities. In the same vein, the readmission rates for heart failure patients remain high and portend a poor prognosis for morbidity and mortality. In this context, development and implementation of improved algorithms for assessing and treating HF patients during hospitalization remains an unmet need. We propose an expanded algorithm for both monitoring and treating patients admitted for acute decompensated heart failure with the goal to improve post-discharge outcomes and decrease rates of rehospitalizations.


Heart failure Acute decompensated heart failure, rehospitalizations HFrEF 


Compliance with ethical standards

Conflict of interest

Dr. Muthiah Vaduganathan is supported by the NHLBI T32 postdoctoral training grant (T32HL007604); Dr. Andrew P. Ambrosy is supported by the NHLBI T32 postdoctoral training grant (5T32HL069749); Dr. Sean P. Collins is supported by grants through the AHA, PCORI, NIH, AHRQ, and Novartis and is a consultant for Novartis.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Joyce N. Njoroge
    • 1
  • Baljash Cheema
    • 1
  • Andrew P. Ambrosy
    • 2
  • Stephen J. Greene
    • 2
  • Sean P. Collins
    • 3
  • Muthiah Vaduganathan
    • 4
  • Alexandre Mebazaa
    • 5
    • 6
  • Ovidiu Chioncel
    • 7
    • 8
  • Javed Butler
    • 9
  • Mihai Gheorghiade
    • 1
  1. 1.Department of Medicine, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  2. 2.Duke Clinical Research Institute and Division of CardiologyDuke University Medical CenterDurhamUSA
  3. 3.Vanderbilt University Medical CenterNashvilleUSA
  4. 4.Brigham and Women’s Hospital Heart and Vascular Center and Harvard Medical SchoolBostonUSA
  5. 5.Department of Anesthesia and Critical Care, Inserm U942Hôpitaux Universitaires Saint-Louis-LariboisièreParisFrance
  6. 6.University Paris DiderotParisFrance
  7. 7.Institute of Emergency for Cardiovascular Diseases “Prof C.C.Iliescu”BucharestRomania
  8. 8.University of Medicine and Pharmacy Carol DavilaBucharestRomania
  9. 9.Department of MedicineUniversity of MississippiOxfordUSA

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