Expert Opinion on the Identification and Pharmacological Management of Worsening Heart Failure

• DOI: 10.4103/jpcs.jpcs_32_23
• Publication Date: 2024-06-01T18:57:52Z
• Authors: Sandeep Seth; Johann Bauersachs; Sanjay Mittal; Vishal Rastogi; Rajeev Kumar Rajput; Dheeraj Gandotra; Ripen Gupta; Manoj Sahu; S N Pathak; Mohit Bhagwati; Simmi Minocha; Pawan Sharma; Deepankar Vatsa; Raghav Aggarwal; Gyanti R B Singh; Gaurav Arora; Samir Kubba; Meera Rajeev; Pratik Jha; B S Vivek; Mohit Gupta; Rameshwar Bishnoi; Rashi Khare; Vipul Gupta; Naresh Kumar Goyal; Aseem Dhall; Amit Madan; B D Sharma; Atul D Abhyankar; Pravin Kahale; Talha Meeran; Babu Ezhumalai; B C Kalmath; V T Shah; Sandip Rungta; P Ashok Kumar; Sunil Christopher; Alok A Shah; Ramesh Dargad; Kaushik Sheth; Abhay Khode; Sunil P Mehta; Bommareddy V A Ra...; Puneet Gupta; B K Tripathi; Ritwick Raj Bhuyan
• Keywords: Expert opinion; Decompensation; Guideline

Worsening heart failure (WHF) is a distinct under-diagnosed and under-treated condition, independent of location care. Heart (HF) progression punctuated by repeated WHF events, each resulting in reduced cardiac function. One-third the patients with HF ejection fraction experience decompensation event. These events often result emergency department visits hospitalization. Despite its inclusion recent guidelines, there no precise definition or various forms. It worth noting that signals need for treatment optimization as per guideline-directed medical therapy addition novel drugs like stimulator soluble guanylate cyclase benefit this high-risk patient population. This practical document based on expert opinion cardiologists, cardiothoracic surgeons, physicians discussed definition, assessment, pharmacological management, monitoring hospitalized setting. In addition, also an management outpatient