Article Text

other Versions

Download PDFPDF
Inpatient management of acute decompensated heart failure
  1. Leah Raj1,
  2. Samuel David Maidman2,
  3. Bhavin B. Adhyaru3
  1. 1Medicine – Cardiovascular Medicine, University of Southern California, Los Angeles, California, USA
  2. 2Emory University School of Medicine, Atlanta, Georgia, USA
  3. 3Medicine, Emory University, Atlanta, Georgia, USA
  1. Correspondence to Samuel David Maidman, Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA; samuel.maidman{at}


Acute decompensated heart failure (ADHF) is the leading cause of hospital admissions in patients older than 65 years. These hospitalisations are highly risky and are associated with poor outcomes, including rehospitalisation and death. The management of ADHF is drastically different from that of chronic heart failure as inpatient treatment consists primarily of haemodynamic stabilisation, symptom relief and prevention of short-term morbidity and mortality. In this review, we will discuss the strategies put forth in the most recent American College of Cardiology/American Heart Association and Heart Failure Society of America guidelines for ADHF as well as the evidence behind these recommendations.

  • Heart failure
  • acute decompensated heart failure
  • heart failure exacerbation
  • Inpatient heart failure

Statistics from


  • Contributors LR wrote the review article. SDM wrote, edited and submitted the review article. BBA conceived of, supervised and edited the review article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.