[Optimization of the management of acute heart failure. New concept of fast-track]

Abstract

The acute heart failure generates a very important number of hospitalizations for a high cost. A recent reflection on optimizing its management is ongoing, based on the fastest management in the emergency department, with a distinction between which patient should remain and who returns at home, and under what conditions, allowing to limit the number of hospitalizations. It will require a reorganization of emergency department and updating of decision algorithms and new guidelines of care.

Keywords: Acute heart failure; Fast-track; Filière ultrarapide; Insuffisance cardiaque aiguë.