March 2020 Br J Cardiol 2020;27:15–7
Sanjay S Bhandari, Daniel CS Chan
Advanced heart failure From a trainee’s perspective, recognising when a heart failure (HF) patient is entering into the advanced stages is critical and sets off “transplant alarm bells”. Dr Sai Bhagra (Royal Papworth Hospital, Cambridge) delivered a great talk on this spectrum of the disease, essentially defining this as a failure of optimal therapy, requiring escalating diuretics with the development of end-organ dysfunction. The 2018 European Society of Cardiology definition of advanced HF encompasses: severe symptom limitation severe cardiac impairment pulmonary/systemic congestion requiring intravenous diuretics or malignant arrhy
January 2004 Br J Cardiol 2004;11:22-3
Jeremy Bray
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