0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
About This Journal |

About This Journal FREE

JAMA. 2004;292(21):2548. doi:10.1001/jama.292.21.2548.
Text Size: A A A
Published online

EDITOR-IN-CHIEF
Catherine D. DeAngelis, MD, MPH

Executive Deputy Editor: Phil B. Fontanarosa, MD
Deputy Editors: Richard M. Glass, MD, Drummond Rennie, MD, Margaret A. Winker, MD
Senior Contributing Editor: M. Therese Southgate, MD
Managing Senior Editor: Annette Flanagin
Senior Editors: Robert M. Golub, MD, Stephen J. Lurie, MD, PhD, Ronna Henry Siegel, MD
Contributing Editors: Helene M. Cole, MD, Thomas B. Cole, MD, MPH, David S. Cooper, MD, Michael S. Lauer, MD, Wendy Levinson, MD, David H. Mark, MD, MPH, Robert A. McNutt, MD, Harriet S. Meyer, MD, Boris Pasche, MD, PhD, Jeanette M. Smith, MD, Janet M. Torpy, MD, Jody W. Zylke, MD
Consulting Editor: Deborah J. Cook, MD
Statistical Editor: Naomi Vaisrub, PhD
Associate Editors: Charlene Breedlove, Roxanne K. Young
Fishbein Fellow: Sarah Ringold, MD
Medical News & Perspectives: Joan Stephenson, PhD (editor); Tracy Hampton, PhD, Mike Mitka (senior staff writers); Rebecca Voelker (contributing editor)
Assistant Editors: Kristen M. Quaranta, Jennifer Reiling
STUDENTJAMA: Teri Reynolds, PhD (editor)
Executive Assistant to the Editor: Marla A. Hall
Administrative Assistant: Delia Rico
Editorial Graphics: Cassio Lynm (senior medical illustrator), Tiffany J. Glass (medical illustrator), Hamlet Theodore (editorial assistant)
Electronic Media: Michelle Kurzynski (director); Erin Giannini, Peter Kim (associate Web editors); Nadine Siewnarine (Web office manager)
Editorial Systems and Administration: Elaine Williams (director); Gale Saulsberry (database specialist); Lenette Gardner-Gullens (electronic input supervisor); Fanny L. Brown, Celina Canchola (electronic input specialists)
Staff Assistant: Gloria Tate
Editorial Assistants: Mary Cannon, Susan Collister, Carmina Conley, Dawn Cortez, Audrey Forman, Gwenn Gregg, Lisa Hardin, Mary Ann Lilly, Rachell M. Lozano, Rosa E. Miranda, Lupe Morales, Ethel Pinkston, Esmeralda Velasco
Editorial Processing Division: Cheryl Iverson (director); Paul Frank, Monica Mungle (editorial systems managers); J. D. Neff (associate editorial systems developer)
Manuscript Editing: Stacy L. Christiansen (director); Coleen Adamson, Susan R. Benner, Joy K. Jaeger, Phil Sefton, Heather A. Shebel, Beverly Stewart (senior manuscript editors); Kim S. P. Campbell; Laura King, Cara Wallace (freelance manuscript editors)
JAMA/Archives Media Relations: Jann Ingmire (director); Laura Adamczyk, Jim Michalski, Sharon Parmet

Daniel M. Albert, MD, University of Wisconsin Hospital and Clinics, Madison, Wis
Donald M. Berwick, MD, MPP, Institute for Healthcare Improvement, Boston, Mass
Cyril Chantler, MD, FRCP, London, United Kingdom
Joseph T. Coyle, MD, Harvard Medical School, Boston, Mass
Pierre Durieux, MD, MPH, Université Paris 6, Paris, France
Ronald G. Evens, MD, Barnes-Jewish Hospital, St Louis, Mo
Philip Greenland, MD, The Feinberg School of Medicine, Northwestern University, Chicago, Ill
Michael M. E. Johns, MD, Robert W. Woodruff Health Sciences Center of Emory University, Atlanta, Ga
Colin I. Johnston, MB, BS, University of Melbourne, Melbourne, Australia
Mary-Claire King, PhD, University of Washington,Seattle, Wash
Wayne F. Larrabee, Jr, MD, University of Washington, Seattle, Wash
Risa Lavizzo-Mourey, MD, The Robert Wood Johnson Foundation, Princeton, NJ
Joseph K. Lim, MD, Stanford University Medical Center, Stanford, Calif
Donald A. B. Lindberg, MD, National Library of Medicine, Bethesda, Md
C. David Naylor, MD, DPhil, University of Toronto, Toronto, Ontario, Canada
Claude H. Organ, Jr, MD, University of California–San Francisco, East Bay,Oakland, Calif
June E. Osborn, MD, Josiah Macy, Jr Foundation, New York, NY
Edmund D. Pellegrino, MD, Georgetown University, Washington, DC
Uwe E. Reinhardt, PhD, Princeton University, Princeton, NJ
Povl Riis, MD, DSCI, DHC, Professor of Medicine, Copenhagen, Denmark
Frederick P. Rivara, MD, MPH, University of Washington, Seattle, Wash
June K. Robinson, MD, Loyola University Medical Center, Maywood, Ill
William L. Roper, MD, MPH, University of North Carolina at Chapel Hill, Chapel Hill, NC
Roger N. Rosenberg, MD, University of Texas Southwestern Medical Center, Dallas, Tex
Masaaki Terada, MD, National Cancer Center, Tokyo, Japan

Bassel Atallah, MD,JAMA—Middle East
Eugeniu Pascal Ciofu, MD, PhD,JAMA—Romania
Pierre Durieux, MD, MPH,JAMA—Français
Csaba Farsang, MD, DSc,JAMA—Hungary
Igor Francetic, MD, PhD,JAMA—Croatia
Evarist Feliu Frasnedo, MD,JAMA—Spain
Zbigniew A. Gaciong, MD, PhD,JAMA—Poland
Hiromasa Ishii, MD,JAMA—Japan
Evin Kantemir, MD,JAMA—Turkey
Li Chengyi, MD,JAMA—China
Guillermo E. Ruiz Velasco y Aranzolo, MD,JAMA—Mexico
Helena Saldanha, PhyD,JAMA—Portugal
Ivan Vidmar, MD,JAMA—Slovenia
Jíbrí Widimský, MUDr, DrSc,JAMA—Czech/Slovak

VP & Group Publisher: Nawin Gupta, PhD

Advertising Sales and Marketing
Director, Advertising Sales: Jeffery J. Bonistalli
Sales Representatives: Susan J. Carollo, Maureen A. Reichert, Nancy E. Souza
VP Office Staff: Colleen Casey, Geoffrey Flick, Paul Gasiecki, Terri Hanley, Christine Hearne

Online Business and CME
Publisher: Bonnie Chi-Lum, MD, MPH

Business and Product Development
Publishing Director
: Frank Iorio

Director, Circulation Sales & Marketing: William Fox
Director, Licensing & Permissions: Norman Frankel, PhD
Managers: Kathy Dalton, Vida Damijonaitis
Staff: Rhonda Bailey, Millette Jackson-Bates, Sandra Garzon, Anna Goins, Jeremy Nielsen, Saskia Volkers

Director, Marketing Support Services: Mark Thornbury
Staff: Victoria Anne Acot, Nancy Bell, Susan Lovenberg, Mirna Monal, Dennis Sammartino, Debra Ann Sardo

Director, Reprints: Mark Kuhns
Staff: Wanda Bartolotta

Classified Advertising
Manager: Thalia Moss
Staff: Kimberly Bitowt, Shana Brown, Trina Rizzo

Publishing Operations Division
Division Director: Vanessa Hayden
Directors: Karen Adams-Taylor, Sue Sherrill, Carmela Ware
Managers: David Antos, Karen Branham, Suzanne J. Bukovsky, Debbie Camp, Diane Darnell, Karl Elvin, Betty Frigerio, Linda Gardner, Charl Jensen, Mary Ellen Johnston, Mark Matura, Michael McGraw, Phil O'Leary, Susan Price, Alfred Tomaselli, Stacy Tucker
Advertising and Production Services: Susan Chiara, Linda Christian, Mary Anne Donley, Euwanaha Joiner-Smith, Brian McCartney, Sean O'Donnell, Noemi Olmo, Ryan Patella, Carole Piszker, Cindy Rendlen, Denise Steinhauser, Ellen Yoshihara
Circulation Processing: Bernadette Bauer, Julie Burton, Rosa Eng, Felicia Kyles, Lawrence Majkszak, Kathryn Osten
Composition and New Media: Rebecca Aiken, Gail Barrett, Regina Brownlee, Brenda Chandler-Grayer, Amy Evers, Domenic Fosco, Angela Kim, Mary Ann Kuranda, Sandra Lopez, Bruce McGregor, Ted Piwowar, La'son Diggs Sledge, George Thomson
Graphics: Joe Amft, Fred Furtner, Carolyn Hall, Maria Kowalkowski, Chris Meyer, JoAnne Weiskopf
Proofreading: Carol Joy Farrell, Daniel James, Judith A. Literskis, Teresa H. Omiotek, Barbara Wojtowicz, Agnes A. Zarkadas

Executive Vice President, Chief Executive Officer: Michael D. Maves, MD, MBA
Senior Vice President, Publishing and Business Services: Robert A. Musacchio, PhD
President: John C. Nelson, MD, MPH
President-Elect: J. Edward Hill, MD
Immediate Past President: Donald J. Palmisano, MD, JD
Secretary-Treasurer: John H. Armstrong, MD
Speaker, House of Delegates: Nancy J. Nielsen, MD, PhD
Vice-Speaker, House of Delegates: Jeremy A. Lazarus, MD
Trustees: Herman I. Abromowitz, MD; John H. Armstrong, MD; Duane M. Cady, MD (chair-elect); Peter W. Carmel, MD; Ronald M. Davis, MD; William A. Hazel, Jr, MD; Cyril M. Hetsko, MD; Joseph M. Heyman, MD; J. Edward Hill, MD; Edward L. Langston, MD; Matthew C. Lawyer, JD; Jeremy A. Lazarus, MD; Robert R. McMillan; John C. Nelson, MD, MPH; Nancy H. Neilsen, MD, PhD; Donald J. Palmisano, MD, JD; Rebecca J. Patchin, MD; William G. Plested III, MD; Kevin C. Reilly, Sr, MD; J. James Rohack, MD (chair); Cecil B. Wilson, MD

Joshua Lederberg, PhD (chair); Frank Davidoff, MD; Harvey V. Fineberg, MD; David A. Kessler, MD, JD; Robert A. Musacchio, PhD; Vivian Pinn, MD; Roy M. Pitkin, MD

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

* * SCHEDULED MAINTENANCE * *

Our websites may be periodically unavailable between midnight and 04:00 ET Thursday, July 10th, for regularly scheduled maintenance.

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.