11
ACC/AHA Stage C/D HF ACC/AHA Acute/Hospitalized HF
BNP or
NT-proBNP
(COR I)
ACC, American College of Cardiolog y; AHA, American Heart Association; ADHF, acute
decompensated heart failure; BNP, B-type natriuretic peptide; COR, Class of Recommendation;
ED, emergency department; HF, heart failure; NT-proBNP, N-terminal pro-B-type natriuretic
peptide; NYHA, New York Heart Association; and pts, patients.
Predischarge
BNP or
NT-proBNP
(COR IIa)
Ambulatory pts
with new-onset
dyspnea
NYHA class
II-IV
Acute dyspnea
to ED
Hospitalized for
ADHF
BNP or
NT-proBNP
(COR I)
Other
biomarkers of
myocardial injury
or fibrosis*
(COR IIb)
Other
biomarkers of
myocardial injury
or fibrosis*
(COR IIb)
BNP or NT-proBNP,
and cardiac troponin
(COR I)
BNP or
NT-proBNP
(COR I)
