ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

61
ESC GUIDELINES ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012 The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC Authors/Task Force Members: John J.V. McMurray (Chairperson) (UK) * , Stamatis Adamopoulos (Greece), Stefan D. Anker (Germany), Angelo Auricchio (Switzerland), Michael Bo ¨ hm (Germany), Kenneth Dickstein (Norway), Volkmar Falk (Switzerland), Gerasimos Filippatos (Greece), Ca ˆ ndida Fonseca (Portugal), Miguel Angel Gomez-Sanchez (Spain), Tiny Jaarsma (Sweden), Lars Køber (Denmark), Gregory Y.H. Lip (UK), Aldo Pietro Maggioni (Italy), Alexander Parkhomenko (Ukraine), Burkert M. Pieske (Austria), Bogdan A. Popescu (Romania), Per K. Rønnevik (Norway), Frans H. Rutten (The Netherlands),  Juerg Schwitter (Switzerland), Petar Seferovic (Serbia), Janina Stepinska (Poland), Pedro T. Trindade (Switzerland), Adriaan A. Voors (The Netherlands), Faiez Zannad (France), Andreas Zeiher (Germany). ESC Committee for Practice Guidelines (CPG): Jeroen J. Bax (CPG Chairperson) (The Netherlands), Helmut Baumgartner (Germany), Claudio Ceconi (Italy), Veronica Dean (France), Christi Deaton (UK), Robert Fagard (Belgium), Christian Funck-Brentano (France), David Hasdai (Israel), Arno Hoes (The Netherlands), Paulus Kirchhof (Germany/UK), Juhani Knuuti (Finland), Philippe Kolh (Belgium), Theresa McDonagh (UK), Cyril Moulin (France), Bogdan A. Popescu (Romania), Z  ˇ eljko Reiner (Croatia), Udo Sechtem (Germany), Per Anton Sirnes (Norway), Michal Tendera (Poland), Adam Torbicki (Poland), Alec Vahanian (France), Stephan Windecker (Switzerland). Document Reviewers: Theresa McDonagh (CPG Co-Review Coordinator) (UK), Udo Sechtem (CPG Co-Review Coordinator) (Germany), Luis Almenar Bonet (Spain), Panayiotis Avraamides (Cyprus), Hisham A. Ben Lamin (Libya), Michele Brignole (Italy), Antonio Coca (Spain), Peter Cowburn (UK), Henry Dargie (UK), Perry Elliott (UK), Frank Arnold Flachskampf (Sweden), Guido Francesco Guida (Italy), Suzanna Hardman (UK), Bernard Iung * Corresponding author. Chairperson: Professor John J.V. McMurray, University of Glasgow G12 8QQ, UK. Tel: +44 141 330 3479, Fax: +44 141 330 6955, Email: john.mcmurray@ glasgow.ac.uk Other ESC entities having participated in the development of this document: Associations: European Association for Cardiovascular Prevention & Rehabilitation (EACPR), European Association of Echocardiography (EAE), European Heart Rhythm Association (EHRA), European Association of Percutaneous Cardiovascular Interventions (EAPCI)  Working Groups: Acute Cardiac Care, Cardiovascular Pharmacology and Drug T herapy, Cardiovascular Surgery, Grown-up Congenital Heart Disease, Hyperte nsion and t he Heart, Myocardial and Pericardial Diseases, Pulmonary Circulation and Right Ventricular Function, Thrombosis, Valvular Heart Disease Councils: Cardiovascular Imaging, Cardiovascular Nursing and Allied Professions, Cardiology Practice, Cardiovascular Primary Care The content of these European Society of Cardiology (ESC) Guidelines has been published for personal and educational use only. No commercial use is authorized. No part of the ESC Guidelines may be translated or reproduced in any form without written permission from the ESC. Permission can be obtained upon submission of a written request to Oxford University Press, the publisher of the European Heart Journal and the party authorized to handle such permissions on behalf of the ESC. Disclaimer . The ESC Guidelines represent the views of the ESC and were arrived at after careful consideration of the available evidence at the time they were written. Health professionals are encouraged to take them fully into account when exercising their clinical judgement. The guidelines do not, however, override the individual responsibility of health profess ional s to make appropria te decisio ns in the circumsta nces of the individual patient s, in consu ltati on with that patien t, and where appro priat e and necessary the patien t’s guardian or carer. It is also the health professional’s responsibility to verify the rules and regulations applicable to drugs and devices at the time of prescription. & The European Society of Cardiology 2012. All rights reserved. For permissions please email: [email protected] Europe an Heart Journal (2012) 33, 1787–1847 doi:10.1093/eurheartj/ehs104

Transcript of ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

Page 1: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 1/61

Page 2: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 2/61

Page 3: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 3/61

Page 4: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 4/61

Page 5: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 5/61

Page 6: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 6/61

Page 7: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 7/61

Page 8: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 8/61

Page 9: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 9/61

Page 10: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 10/61

Page 11: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 11/61

Page 12: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 12/61

Page 13: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 13/61

Page 14: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 14/61

Page 15: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 15/61

Page 16: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 16/61

Page 17: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 17/61

Page 18: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 18/61

Page 19: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 19/61

Page 20: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 20/61

Page 21: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 21/61

Page 22: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 22/61

Page 23: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 23/61

Page 24: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 24/61

Page 25: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 25/61

Page 26: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 26/61

Page 27: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 27/61

Page 28: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 28/61

Page 29: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 29/61

Page 30: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 30/61

Page 31: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 31/61

Page 32: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 32/61

Page 33: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 33/61

Page 34: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 34/61

Page 35: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 35/61

Page 36: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 36/61

Page 37: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 37/61

Page 38: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 38/61

Page 39: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 39/61

Page 40: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 40/61

Page 41: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 41/61

Page 42: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 42/61

Page 43: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 43/61

Page 44: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 44/61

Page 45: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 45/61

Page 46: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 46/61

Page 47: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 47/61

Page 48: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 48/61

Page 49: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 49/61

Page 50: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 50/61

Page 51: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 51/61

Page 52: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 52/61

Page 53: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 53/61

Page 54: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 54/61

Page 55: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 55/61

Page 56: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 56/61

Page 57: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 57/61

Page 58: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 58/61

Page 59: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 59/61

Page 60: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 60/61

Page 61: ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

7/28/2019 ESC Guidelines for the Diagnosis__ and Treatment of Acute and Chronic Heart Failure 2012.EHJ.2012

http://slidepdf.com/reader/full/esc-guidelines-for-the-diagnosis-and-treatment-of-acute-and-chronic-heart 61/61