54
Treatment
9.1. Assessment of Patients Hospitalized With
Decompensated HF
COR LOE
Recommendations
1 C-LD 1. In patients hospitalized with HF, severity of congestion and
adequacy of perfusion should be assessed to guide triage and
initial therapy.
1 C-LD 2. In patients hospitalized with HF, the common precipitating
factors and the overall patient trajectory should be assessed to
guide appropriate therapy.
Goals for Optimization and Continuation of GDMT
1 C-LD 3. For patients admitted with HF, treatment should address
reversible factors, establish optimal volume status, and
advance GDMT toward targets for outpatient therapy.
9. Patients Hospitalized With Acute Decompensated HF
Table 21. Common Factors Precipitating HF Hospitalization
With Acute Decompensated HF
• ACS
• Uncontrolled hypertension
• AF and other arrhythmias
• Additional cardiac disease (e.g., endocarditis)
• Acute infections (e.g., pneumonia, urinary tract)
• Nonadherence with medication regimen or dietary intake
• Anemia
• Hyper- or hypothyroidism
• Medications that increase sodium retention (e.g., NSAID)
• Medications with negative inotropic effect (e.g., verapamil)
