When does acute decompensation start? (Gerhard Pölzl, Innsbruck, Austria)

Professor Pölzl explains the precipitating factors and symptoms which commonly precede hospitalisation. What impact does clinical versus haemodynamic clinical congestion have? Examining the time course of transition from chronic compensated heart failure to AHF highlights a window of opportunity exists to identify when timely intervention is required before clinical congestion urges hospitalisation. What haemodynamic monitoring is needed for this therapy adjustment? Professor Pölzl reviews the results of the LevoRep and LION-HEART studies to show how intermittent use of levosimendan can offer clinical advantages.


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