J Med Assoc Thai 2019; 102 (8):949-50

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Correction
Phrommintikul A Mail

Dr. Arintaya Phrommintikul has informed the editor to correct the text, figure, and table’s data in the article “Heart Failure Council of Thailand (HFCT) 2019 Heart Failure Guideline: Acute Heart Failure” published in J Med Assoc Thai 2019, Vol.102, No.3, page 373-9 as follow:

1) from While the left-sided HF symptoms such as pulmonary congestion are common presentation in majority of AHF etiologies; the triad of hypotension, clear lung sounds and elevated jugular vein suggest acute pulmonary embolism.

to While majority of patients are commonly presented with left-sided HF symptoms such as pulmonary congestion presentation, the triad of hypotension, clear lung sounds and elevated jugular venous pressure are symptoms of right-sided HF which may be due to specific causes such as acute pulmonary embolism or right ventricular myocardial infarction.

in page 373-374

2) About Figure 2 in page 374

3) from In patients with insufficient diuretic response...
Increase the dose of loop diuretics.
Re-evaluate patient clinical status for tissue perfusion and volume status.
Low sodium diet (sodium<2 grams/day) is recommended in patients with recurrent or refractory volume overload despite appropriate diuretic therapy.
Tolvaptan (V2-receptor antagonist) should be considered in patients with congestion and/or hyponatremia.
It should be given for a short duration.
Switch from intermittent bolus to continuous infusion of loop diuretics.
Combination of loop diuretic with either thiazide-type diuretic or spironolactone should be considered in patients with insufficient diuretic response.
Ultrafiltration may be considered in patients with refractory congestion who fail to respond to a diureticbased strategy.

to In patients with insufficient diuretic response...
• Increase the dose of loop diuretics.
• Re-evaluate patient clinical status for tissue perfusion and volume status.
• Low sodium diet (sodium<2 grams/day) is recommended in patients with recurrent or refractory volume overload despite appropriate diuretic therapy.
• Tolvaptan (V2-receptor antagonist) should be considered in patients with congestion and/or hyponatremia. It should be given for a short duration.
• Switch from intermittent bolus to continuous infusion of loop diuretics.
• Combination of loop diuretic with either thiazide-type diuretic or spironolactone should be considered in patients with insufficient diuretic response.
• Ultrafiltration may be considered in patients with refractory congestion who fail to respond to a diuretic-based strategy.

in Table 4 in page 375


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Original Article: Heart Failure Council of Thailand (HFCT) 2019 Heart Failure Guideline: Acute Heart Failure (Vol 102, No 3: MARCH 2019)