The intent of this presentation was to share with you the insights that we have gained from our own observations here at the Cleveland Clinic, and also from examining The ADHERE« Registry database, on how treatment patterns in the Emergency Department can dramatically improve patient outcomes and healthcare costs in the management of acute heart failure. As ED physicians, we have always known that we were on the front line of care for these patients, and now with this emerging data, it is becoming clear that we are on the front lines of beneficial patient outcomes, which include effective utilization of expensive resources and, in turn, provide for the maximal long-term benefits of