Medical Algorithm Heart Failure Management - Recommended Triage Times

Arnold et al listed recommended times for referral of a patient with heart failure. The authors are from multiple institutions in Canada.

Parameters:

(1) New York Heart Association (NYHA) functional class

(2) AHA/ACC clinical stage

(3) heart failure factors

(4) critical conditions (acute severe myocarditis, acute pulmonary edema, evaluation for transplant or device placement)

Parameter	Finding	Time
NYHA	NYHA I	E
	NYHA II	D
	NYHA III	C
	NYHA IV	B
AHA.ACC	Stage A	E
	Stage B	E
	Stage C	C
	Stage D	B
heart failure	chronic management	D
	new diagnosis, stable and compensated	C
	post-myocardial infarct	B
	post-hospital or ED visit	B
	new diagnosis, unstable and decompensated	B
	progressive	B
	cardiogenic shock	A
critical conditions	any	A

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Recommended Triage Times for Patient with Heart Failure