This guideline covers diagnosing and managing acute heart failure or possible acute heart failure in people aged 18 and over. It aims to improve the immediate care of someone who is acutely unwell as a result of heart failure.
This guideline includes recommendations on:
- diagnosis, assessment and monitoring
- initial pharmacological and non-pharmacological treatment
- treatment after stabilisation
- treatment with valvular surgery and percutaneous intervention
- treatment with mechanical assist devices
Who is it for?
- Healthcare professionals
- Adults who have a diagnosis of acute heart failure, or have possible acute heart failure, or are being investigated for acute heart failure
Guideline development process
This guideline was previously called acute heart failure: diagnosing and managing acute heart failure in adults.
Next review: 2018
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.