Heart Failure, Acutely Decompensated

Muhammad I. Durrani, MS, DO, Carla Dugas, DO, and Clifford M Chang, MD Reviewed 04/2024

BASICS

DESCRIPTION

Acute decompensated heart failure (ADHF) is a heterogenous group of syndromes characterized by new onset or recurrence of structural or functional cardiac pump impairment severe enou...

DIAGNOSIS

See Heart Failure: Chronic.

HISTORY

Patients typically have a history of HF, MI, uncontrolled HTN, and other risk factors mentioned above. Dyspnea on exertion and orthopnea are the only sympt...

TREATMENT

The initial goals of treatment are to improve hemodynamics and organ perfusion, alleviate symptoms, limit cardiac and renal damage, and to restore oxygenation. Once stabilized, the goal is t...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

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

DIET

See Heart Failure: Chronic (1).

PATIENT EDUCATION

Monito...

REFERENCE

Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA focused guideline for the management of heart failure: a report of the American College of Cardiology/American Heat Associatio...

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

Look for an underlying cause of each episode of ADHF.

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