Heart Failure, Acutely Decompensated

Muhammad Durrani, DO, MS, Eric P. Blazar, MD and Kevin Kucharski, DO Reviewed 06/2020

BASICS

DESCRIPTION

Acute decompensated heart failure (ADHF) is a rapid-onset impairment of cardiac pump function, either structurally or functionally, resulting in inefficient perfusion. This leads to ...

DIAGNOSIS

Requires a multifaceted clinical approach with no gold standard diagnostic test: No single historical, physical exam (PE), ECG, or radiographic finding can rule out HF.

HISTORY

Patients typic...

TREATMENT

The goal of treatment is to improve hemodynamics and organ perfusion, alleviate symptoms, limit cardiac and renal damage, restore oxygenation, and minimize hospital length of stay as well as...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Rapid follow-up and multidisciplinary care to reduce hospitalization and mortality.

DIET

Reduce sodium (2 g); maintain cardiac or diabetic diet i...

REFERENCES

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology/Am...

CODES

ICD10

I50.9 Heart failure, unspecified
I50.21 Acute systolic (congestive) heart failure
I50.31 Acute diastolic (congestive) heart failure
I50.41 Acute combined systolic and diastolic (congestive) hr...

CLINICAL PEARLS

BNP in ADHF is helpful in situations in which the diagnosis of ADHF is unclear.
Look for an underlying cause of each episode of ADHF.
IV nitrates (especially if patient is hypertensive) ...

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