Canadian Cardiovascular Society Consensus Conference guidelines on heart failure, update 2009: Diagnosis and management of right-sided heart failure, myocarditis, device therapy and recent important clinical trials
Identifieur interne : 003219 ( Ncbi/Curation ); précédent : 003218; suivant : 003220Canadian Cardiovascular Society Consensus Conference guidelines on heart failure, update 2009: Diagnosis and management of right-sided heart failure, myocarditis, device therapy and recent important clinical trials
Auteurs : Jonathan G. Howlett [Canada] ; Robert S. Mckelvie ; J Malcolm O. Arnold [Royaume-Uni] ; Jeannine Costigan ; Paul Dorian [Canada] ; Anique Ducharme ; Estrellita Estrella-Holder ; Justin A. Ezekowitz ; Nadia Giannetti [Canada] ; Haissam Haddad [Canada] ; George A. Heckman ; Anthony M. Herd [Canada] ; Debra Isaac [Canada] ; Philip Jong [Canada] ; Simon Kouz ; Peter Liu [Canada] ; Elizabeth Mann ; Gordon W. Moe [Canada] ; Ross T. Tsuyuki ; Heather J. Ross [Canada] ; Michel WhiteSource :
- The Canadian Journal of Cardiology [ 0828-282X ] ; 2009.
Abstract
The Canadian Cardiovascular Society published a comprehensive set of recommendations on the diagnosis and management of heart failure in January 2006. Based on feedback obtained through a national program of heart failure workshops and through active solicitation of stakeholders, several topics were identified because of their importance to the practicing clinician. Topics chosen for the present update include best practices for the diagnosis and management of right-sided heart failure, myocarditis and device therapy, and a review of recent important or landmark clinical trials. These recommendations were developed using the structured approach for the review and assessment of evidence adopted and previously described by the Society. The present update has been written from a clinical perspective to provide a user-friendly and practical approach. Specific clinical questions that are addressed include: What is right-sided heart failure and how should one approach the diagnostic work-up? What other clinical entities may masquerade as this nebulous condition and how can we tell them apart? When should we be concerned about the presence of myocarditis and how quickly should patients with this condition be referred to an experienced centre? Among the myriad of recently published landmark clinical trials, which ones will impact our standards of clinical care? The goals are to aid physicians and other health care providers to optimally treat heart failure patients, resulting in a measurable impact on patient health and clinical outcomes in Canada.
Url:
PubMed: 19214293
PubMed Central: 2691911
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Robert S. Mckelvie<affiliation><nlm:aff id="af2-cjc25085">Hamilton Health Sciences and McMaster University, Hamilton;</nlm:aff>
<wicri:noCountry code="subfield">Hamilton</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af4-cjc25085">St Mary’s General Hospital, Kitchener;</nlm:aff>
<wicri:noCountry code="subfield">Kitchener</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af6-cjc25085">Institut de Cardiologie de Montréal, Montreal, Quebec;</nlm:aff>
<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af7-cjc25085">St Boniface General Hospital, Cardiac Sciences Program, Winnipeg, Manitoba;</nlm:aff>
<wicri:noCountry code="subfield">Manitoba</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af8-cjc25085">University of Alberta, Edmonton, Alberta;</nlm:aff>
<wicri:noCountry code="subfield">Alberta</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af2-cjc25085">Hamilton Health Sciences and McMaster University, Hamilton;</nlm:aff>
<wicri:noCountry code="subfield">Hamilton</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af12-cjc25085">Centre Hospitalier Régional de Lanaudière, Joliette, Quebec;</nlm:aff>
<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af13-cjc25085">Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia;</nlm:aff>
<wicri:noCountry code="subfield">Nova Scotia</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af8-cjc25085">University of Alberta, Edmonton, Alberta;</nlm:aff>
<wicri:noCountry code="subfield">Alberta</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="af6-cjc25085">Institut de Cardiologie de Montréal, Montreal, Quebec;</nlm:aff>
<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Canadian Cardiovascular Society Consensus Conference guidelines on heart failure, update 2009: Diagnosis and management of right-sided heart failure, myocarditis, device therapy and recent important clinical trials</title>
<author><name sortKey="Howlett, Jonathan G" sort="Howlett, Jonathan G" uniqKey="Howlett J" first="Jonathan G" last="Howlett">Jonathan G. Howlett</name>
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<author><name sortKey="Mckelvie, Robert S" sort="Mckelvie, Robert S" uniqKey="Mckelvie R" first="Robert S" last="Mckelvie">Robert S. Mckelvie</name>
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<wicri:noCountry code="subfield">Hamilton</wicri:noCountry>
</affiliation>
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<author><name sortKey="Arnold, J Malcolm O" sort="Arnold, J Malcolm O" uniqKey="Arnold J" first="J Malcolm O" last="Arnold">J Malcolm O. Arnold</name>
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<author><name sortKey="Ducharme, Anique" sort="Ducharme, Anique" uniqKey="Ducharme A" first="Anique" last="Ducharme">Anique Ducharme</name>
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<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Estrella Holder, Estrellita" sort="Estrella Holder, Estrellita" uniqKey="Estrella Holder E" first="Estrellita" last="Estrella-Holder">Estrellita Estrella-Holder</name>
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<wicri:noCountry code="subfield">Manitoba</wicri:noCountry>
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<author><name sortKey="Ezekowitz, Justin A" sort="Ezekowitz, Justin A" uniqKey="Ezekowitz J" first="Justin A" last="Ezekowitz">Justin A. Ezekowitz</name>
<affiliation><nlm:aff id="af8-cjc25085">University of Alberta, Edmonton, Alberta;</nlm:aff>
<wicri:noCountry code="subfield">Alberta</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Giannetti, Nadia" sort="Giannetti, Nadia" uniqKey="Giannetti N" first="Nadia" last="Giannetti">Nadia Giannetti</name>
<affiliation wicri:level="4"><nlm:aff id="af9-cjc25085">McGill University, Montreal, Quebec;</nlm:aff>
<orgName type="university">Université McGill</orgName>
<country>Canada</country>
<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Haddad, Haissam" sort="Haddad, Haissam" uniqKey="Haddad H" first="Haissam" last="Haddad">Haissam Haddad</name>
<affiliation wicri:level="2"><nlm:aff id="af10-cjc25085">Ottawa Heart Institute, Ottawa, Ontario;</nlm:aff>
<country>Canada</country>
<placeName><region type="province">Ontario</region>
</placeName>
<wicri:cityArea>Ottawa Heart Institute, Ottawa</wicri:cityArea>
</affiliation>
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<author><name sortKey="Heckman, George A" sort="Heckman, George A" uniqKey="Heckman G" first="George A" last="Heckman">George A. Heckman</name>
<affiliation><nlm:aff id="af2-cjc25085">Hamilton Health Sciences and McMaster University, Hamilton;</nlm:aff>
<wicri:noCountry code="subfield">Hamilton</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Herd, Anthony M" sort="Herd, Anthony M" uniqKey="Herd A" first="Anthony M" last="Herd">Anthony M. Herd</name>
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<orgName type="university">Université du Manitoba</orgName>
<country>Canada</country>
<placeName><settlement type="city">Winnipeg</settlement>
<region type="state">Manitoba</region>
</placeName>
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<author><name sortKey="Isaac, Debra" sort="Isaac, Debra" uniqKey="Isaac D" first="Debra" last="Isaac">Debra Isaac</name>
<affiliation wicri:level="4"><nlm:aff id="af1-cjc25085">University of Calgary, Calgary, Alberta;</nlm:aff>
<orgName type="university">Université de Calgary</orgName>
<country>Canada</country>
<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
</affiliation>
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<author><name sortKey="Jong, Philip" sort="Jong, Philip" uniqKey="Jong P" first="Philip" last="Jong">Philip Jong</name>
<affiliation wicri:level="2"><nlm:aff id="af5-cjc25085">University of Toronto, Toronto, Ontario;</nlm:aff>
<country>Canada</country>
<placeName><region type="province">Ontario</region>
</placeName>
<wicri:cityArea>University of Toronto, Toronto</wicri:cityArea>
</affiliation>
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<author><name sortKey="Kouz, Simon" sort="Kouz, Simon" uniqKey="Kouz S" first="Simon" last="Kouz">Simon Kouz</name>
<affiliation><nlm:aff id="af12-cjc25085">Centre Hospitalier Régional de Lanaudière, Joliette, Quebec;</nlm:aff>
<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
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<author><name sortKey="Liu, Peter" sort="Liu, Peter" uniqKey="Liu P" first="Peter" last="Liu">Peter Liu</name>
<affiliation wicri:level="2"><nlm:aff id="af5-cjc25085">University of Toronto, Toronto, Ontario;</nlm:aff>
<country>Canada</country>
<placeName><region type="province">Ontario</region>
</placeName>
<wicri:cityArea>University of Toronto, Toronto</wicri:cityArea>
</affiliation>
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<author><name sortKey="Mann, Elizabeth" sort="Mann, Elizabeth" uniqKey="Mann E" first="Elizabeth" last="Mann">Elizabeth Mann</name>
<affiliation><nlm:aff id="af13-cjc25085">Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia;</nlm:aff>
<wicri:noCountry code="subfield">Nova Scotia</wicri:noCountry>
</affiliation>
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<author><name sortKey="Moe, Gordon W" sort="Moe, Gordon W" uniqKey="Moe G" first="Gordon W" last="Moe">Gordon W. Moe</name>
<affiliation wicri:level="2"><nlm:aff id="af14-cjc25085">St Michael’s Hospital, Toronto, Ontario</nlm:aff>
<country>Canada</country>
<placeName><region type="province">Ontario</region>
</placeName>
<wicri:cityArea>St Michael’s Hospital, Toronto</wicri:cityArea>
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<author><name sortKey="Tsuyuki, Ross T" sort="Tsuyuki, Ross T" uniqKey="Tsuyuki R" first="Ross T" last="Tsuyuki">Ross T. Tsuyuki</name>
<affiliation><nlm:aff id="af8-cjc25085">University of Alberta, Edmonton, Alberta;</nlm:aff>
<wicri:noCountry code="subfield">Alberta</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Ross, Heather J" sort="Ross, Heather J" uniqKey="Ross H" first="Heather J" last="Ross">Heather J. Ross</name>
<affiliation wicri:level="2"><nlm:aff id="af5-cjc25085">University of Toronto, Toronto, Ontario;</nlm:aff>
<country>Canada</country>
<placeName><region type="province">Ontario</region>
</placeName>
<wicri:cityArea>University of Toronto, Toronto</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="White, Michel" sort="White, Michel" uniqKey="White M" first="Michel" last="White">Michel White</name>
<affiliation><nlm:aff id="af6-cjc25085">Institut de Cardiologie de Montréal, Montreal, Quebec;</nlm:aff>
<wicri:noCountry code="subfield">Quebec</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series><title level="j">The Canadian Journal of Cardiology</title>
<idno type="ISSN">0828-282X</idno>
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<imprint><date when="2009">2009</date>
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<front><div type="abstract" xml:lang="en"><p>The Canadian Cardiovascular Society published a comprehensive set of recommendations on the diagnosis and management of heart failure in January 2006. Based on feedback obtained through a national program of heart failure workshops and through active solicitation of stakeholders, several topics were identified because of their importance to the practicing clinician. Topics chosen for the present update include best practices for the diagnosis and management of right-sided heart failure, myocarditis and device therapy, and a review of recent important or landmark clinical trials. These recommendations were developed using the structured approach for the review and assessment of evidence adopted and previously described by the Society. The present update has been written from a clinical perspective to provide a user-friendly and practical approach. Specific clinical questions that are addressed include: What is right-sided heart failure and how should one approach the diagnostic work-up? What other clinical entities may masquerade as this nebulous condition and how can we tell them apart? When should we be concerned about the presence of myocarditis and how quickly should patients with this condition be referred to an experienced centre? Among the myriad of recently published landmark clinical trials, which ones will impact our standards of clinical care? The goals are to aid physicians and other health care providers to optimally treat heart failure patients, resulting in a measurable impact on patient health and clinical outcomes in Canada.</p>
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