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[17/11/2016]

Directrices para el diagnóstico y tratamiento de la IC crónica ERC 2016

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Fuente: http://eurheartj.oxfordjournals.org/content/ehj/37/41/3121.full.pdf

The Task Force for the diagnosis and treatment of acute and chronic heart failure (HF) of the European Society of Cardiology (ESC) with the special contribution of the HF Association of the ESC present these guidelines with significant changes and adaptations when compared to the previous version of the ESC HF guidelines published in 2012. The table of contents have been updated and include new sections. Definition is now a separate section. Previous guidelines had a grey area identifying patients with a left ventricular ejection fraction (LVEF) ranging between 40 and 49%, so in these guidelines a new term has been coined: HFmrEF (HF with mid-range ejection fraction). This change has a clear purpose; it will stimulate research into the underlying characteristics of this population. A diagnostic algorithm includes HFmrEF diagnostic criteria: it requires the presence of symptoms/signs of HF, a LVEF between 40 and 49%, elevated levels of natriuretic peptides (NPs) and evidence of other cardiac functional or structural alterations such as left auricular enlargement (LAE), left ventricle (LV) hypertrophy or diastolic dysfunction.

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