Acute Decompensated Heart Failure

Patient Management

Heart team evaluation image

Treatment Pathway

De novo heart failure, despite higher mortality, offers potential myocardial recovery. Identifying and addressing underlying causes is key—interventions for conditions like dilated cardiomyopathy, viral myocarditis and toxin-induced cardiomyopathy can lead to improvement. For cardiac surgeries, explore options; if issues persist, consider replacement therapy or palliative care.

In Acute on Chronic heart failure, complete recovery isn't guaranteed, but the focus is on improving function. Impella® is vital, allowing the heart to rest, addressing issues, minimizing medications, optimizing nutrition and enhancing mobility—promising steps for heart improvement.


Learn more about identifying and managing patient in right heart failure

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Impella Connect®

Your cloud-based, remote monitoring of Impella heart pump status to help improve patient outcomes. With Impella Connect, authorized hospital staff can review cases at any time from any internet-connected device.

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Clinical Support Center

Your on-call resource for 24/7 clinical and technical support. Contact the Clinical Support Center (CSC) at
1-800-422-8666 for patient management expertise to help you achieve the best possible patient outcomes.


Additional Resources

Explore the education library for more tips and tricks.


  1. Abraham, J. et al. Journal Cardiac Failure. 2021;27(10):1126-40
  2. Vahdatpour, C. et al. JAHA. 2019; 8e011991
  3. AKI Workgroup. Kidney International Supl. 2012; 2:1
  4. Belkin et al. CircHeart Fail. 2022;15(7):e009601.
  5. Kang, G. et al. JHLT. 2017;36(11):1272
  6. Hollenberg, SM et al. JACC. 2019;74(15)1966-2011
  7. McDonagh, TA et al. EHJ. 2021;42(36):3599-726
  8. Zheng J, et al. J Am Coll Cardiol. 2022;79(9):849-60
  9. Kosyakovsky, et al. Eur Heart J. 2021
  10. McGuinn, Erin et al. JAHA 2021
  11. Bloos, F & Reinhart, K. Intensive Care Med. 2005;31:911-3
  12. Geller, B.J. et al. Circulation. 2022;Jul7:101161
  13. Belkin et al. Circ Heart Fail. 2022;15(7):e009601
  14. Basir, B et al. Lactate and CPO reliably Predict. TCT 2018
  15. Hanson et al. Catheter Cardiovasc Interv. 2020; 1-6

NPS - 624