Updates on Prevention of Acute Heart Failure

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 537

Special Issue Editor


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Guest Editor
1. Department VII, Internal Medicine II, Discipline of Cardiology, University of Medicine and Pharmacy “Victor Babes” Timisoara, E. Murgu Square, Nr. 2, 300041 Timisoara, Romania
2. Centre of Molecular Research in Nephrology and Vascular Disease, University of Medicine and Pharmacy “Vic-tor Babes” Timisoara, E. Murgu Square, Nr. 2, 300041 Timisoara, Romania
3. County Emergency Hospital “Pius Brinzeu”, L. Rebreanu, Nr. 156, 300723 Timisoara, Romania
Interests: pulmonary hypertension; heart failure; heart rate variability; myocarditis; pericarditis; COVID-19 and post-acute COVID-19 syndrome
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Special Issue Information

Dear Colleagues,

According to the World Health Organization reports, cardiovascular diseases represent the leading cause of mortality, being responsible for around 32% of the global death count. Cardiovascular pathologies, either undiagnosed or already treated, tend to lead to heart failure during their evolution. In recent decades, the incidence of heart failure has increased and is diagnosed even in younger age groups; therefore, heart failure has become a problem for healthcare systems worldwide. For chronic heart failure, the pathophysiological mechanisms are better known, several classifications, according to the severity of symptoms or ejection fraction, etc., are available, and innovative therapies manage to prolong the life expectancy of the affected patients. Meanwhile, acute heart failure remains the most invalidating category, with elevated morbidity/mortality, often responsible for most of the hospitalizations in intensive care units requiring specialized care, and a less stipulated background, being harder to treat and raising costs for healthcare systems.

Although several new therapeutic options (drugs and mini-invasive procedures) are now available for the management of acute heart failure, its incidence remains very high, and therapeutic successes are limited.

This Special Issue focuses on original articles and reviews, suggesting new options to prevent and treat acute heart failure.

Dr. Cristina Tudoran
Guest Editor

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Keywords

  • acute heart failure
  • treatment of acute heart failure
  • management of acute heart failure
  • prevention of acute heart failure
  • chronic decompensated heart failure

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Published Papers (1 paper)

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Review

33 pages, 7603 KiB  
Review
Assessment of Decongestion Status Before Discharge in Acute Decompensated Heart Failure: A Review of Clinical, Biochemical, and Imaging Tools and Their Impact on Management Decisions
by Diana-Ligia Pena, Adriana-Mihaela Ilieșiu, Justin Aurelian, Mihai Grigore, Andreea-Simona Hodorogea, Ana Ciobanu, Emma Weiss, Elisabeta Badilă and Ana-Maria Balahura
Medicina 2025, 61(5), 816; https://doi.org/10.3390/medicina61050816 - 28 Apr 2025
Viewed by 293
Abstract
Acute decompensated heart failure (ADHF) represents a major healthcare burden, with residual congestion at discharge being a critical determinant of poor outcomes. Despite its prognostic significance, the assessment of decongestion status before discharge remains suboptimal, highlighting the need for a more comprehensive evaluation [...] Read more.
Acute decompensated heart failure (ADHF) represents a major healthcare burden, with residual congestion at discharge being a critical determinant of poor outcomes. Despite its prognostic significance, the assessment of decongestion status before discharge remains suboptimal, highlighting the need for a more comprehensive evaluation approach. This descriptive review synthesizes current evidence on congestion assessment methods in ADHF, focusing on their role in discharge decision-making and prognostic value. We describe various evaluation tools, including clinical examination, biomarkers, imaging techniques, and congestion scores, presenting their integration into a practical assessment algorithm. A comprehensive algorithm for congestion assessment before discharge is presented, incorporating multimodal evaluation techniques, with the aim of highlighting the practical utility of various assessment methods in guiding treatment decisions and determining optimal discharge timing. Integration of multiple parameters provides superior accuracy in evaluating decongestion status compared to single-method approaches. A standardized, multimodal approach to congestion assessment before discharge is essential for optimal ADHF management. The proposed assessment algorithm, combining clinical, biochemical, and imaging parameters, offers a practical framework for more reliable discharge decision-making, potentially improving patient outcomes. Full article
(This article belongs to the Special Issue Updates on Prevention of Acute Heart Failure)
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