Heart Failure, Chronic

Jeffrey Shih, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Heart failure (HF) is the condition resulting from inability of the heart to fill and/or pump blood sufficiently to meet tissue metabolic needs. Alternatively, HF may occur when adeq...

DIAGNOSIS

HISTORY

  • Dyspnea on exertion: cardinal sign of left-sided HF. Deteriorating exercise capacity: easy fatigued, general weakness

  • Nocturnal nonproductive cough, orthopnea, and paroxysmal nocturnal...

TREATMENT

GENERAL MEASURES

Correct and treat risk factors for HF. The treatment of chronic HF is focused on improving hemodynamics, relieving symptoms, and blocking the neurohormonal response to improv...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Critical patient education performed at all outpatient and inpatient physician visits

  • Rapid office follow-up (7 days) after hospitalization

Patient Monitoring

Home h...

REFERENCES

1 Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Ta...

SEE ALSO

Algorithm: Congestive Heart Failure: Differential Diagnosis 

CODES

ICD10

  • I50.9 Heart failure, unspecified

  • I50.1 Left ventricular failure

  • I50.22 Chronic systolic (congestive) heart failure

  • I50.32 Chronic diastolic (congestive) heart failure

  • I50.42 Chronic combined sy...

CLINICAL PEARLS

  • Have patients weigh themselves daily and report weight gains of >2 lb in a day or 5 lb above dry weight.

  • β-Blockers, ACE-I, and aldosterone antagonists are the core medications for m...

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