Eligibility Details:
Inclusion Criteria: Adult patients with acute heart failure, hospitalized in Ontario,
Canada, with evidence of possible ischemic heart disease, defined as at least one of: a)
prior myocardial infarction, b) troponin elevation, or c) angina.
Exclusion Criteria:
- Recent myocardial infarction
- Coronary angiogram or revascularization within previous 3 months before admission
- Nonresidents of Ontario, invalid health card number
- HF diagnosed after admission
- Admission BNP or NT-proBNP not diagnostic of HF
- Died within 14 days of admission
- Palliative within 6 months prior to hospital admission
- Elevated creatinine concentration
- Documented anaphylactic contrast allergy
- Ischemic or hemorrhagic stroke within 3 months prior to admission
- Highest category of Hospital Frailty Risk Score
- Active severe bleeding at time of hospital admission
- Absolute platelet count < 20
- Metastatic cancer