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Title:           Acute heart failure in non-cardiac surgery
Subject:         DOI: 10.1093/eurheartj/ehaf559; European Heart Journal, 46, 40, 2025-08-21.; Abstract: More than 64 million people worldwide have heart failure (HF), and these numbers are expected to rise. Acute HF (AHF) is the leading cause of hospitalization in patients over 65 years old and is linked to high mortality and readmission rates. AHF may also be a frequent complication in patients hospitalized for other medical reasons as well as after cardiac or non-cardiac surgery. These three entities are summarized as secondary AHF. As secondary AHF has been largely overlooked by medical research and education, little is known about its pathophysiology, phenotypes, diagnosis, management, and prognosis. Secondary AHF occurring after non-cardiac surgery warrants particular attention due to its very high mortality rates of up to 44% within 1 year and is therefore the focus of this review. The scope of this document is to summarize the available evidence regarding the pathophysiology, prevention, diagn
Keywords:        Acute heart failure; Non-cardiac surgery; Perioperative complications; Heart failure; Natriuretic peptides
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      Title: Acute heart failure in non-cardiac surgery
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       Item: 
        Title: Introduction
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        Title: Incidence and prognosis of AHF after non-cardiac surgery
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         Item: 
          Title: Incidence
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          Title: Prognosis
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        Title: Pathophysiology of AHF after non-cardiac surgery
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          Title: Coagulation system
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          Title: Anaesthesia
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          Title: Development of AHF after non-cardiac surgery
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        Title: Pre-operative risk assessment and management
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          Title: Patients with known HF
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            Title: Perioperative risk in patients with HF
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            Title: Risk stratification and pre-operative management of patients with HF
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          Title: Patients without known HF
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            Title: Asymptomatic patients
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        Title: Surveillance and diagnosis of AHF after non-cardiac surgery
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        Title: Management of AHF after non-cardiac surgery
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            Title: Scenario 1: HFrEF undergoing high-risk non-cardiac surgery
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            Title: Scenario 2: post-operative cardiac consultation in a patient without known HF undergoing urgent moderate-risk surgery
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            Title: Scenario 3: patient without known HF undergoing urgent moderate-risk non-cardiac surgery
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