Skip to main content
. 2021 Jun 8;116(6):1174–1212. [Article in Portuguese] doi: 10.36660/abc.20210367

Figure 6.1. Treatment algorithm for patients with advanced heart failure.

Figure 6.1

*Clinical classification of patients with advanced heart failure from the Interagency Registry for Mechanically Assisted Circulatory Support (Intermacs), see Brazilian Guidelines on Chronic and Acute Heart Failure.15 Arq Bras Cardiol. 2018; Quadro 4.6 (page 505).

**Cardiogenic shock classification proposed by the Society for Cardiovascular Angiography and Interventions (SCAI). Stage A: at risk of shock; Stage B: beginning shock; Stage C: classic shock; Stage D: deteriorating shock; Stage E: extremis. Adapted from Baran DA et al.58Catheter Cardiovasc Interv. 2019; 94(1): 29-37.

FC: functional class; HF: heart failure; ICD: implantable cardiac defibrillator; IVAD: implantable ventricular assist device; MCSD: mechanical circulatory support device; NYHA: New York Heart Association; VA-ECMO: venoarterial extracorporeal membrane oxygenation.