Development and implementation of a comprehensive heart failure practice guideline.

Clinical decisions must be made. Correct course of action may not be readily apparent. Multiple non-pharmacologic, pharmacologic, and device therapies are available. Reasonably valid methods exist to address knowledge base and evaluate medical evidence. Data beyond randomized clinical trials exist that enhance medical decision making. Uncertainties remain concerning approaches to treatment after review of Journal of Cardiac Failure Vol. 16 No. 6 2010