Heart Failure, Acutely Decompensated

Muhammad I. Durrani, MS, DO, Marsha Wainwright Edwards, MD, Medical Degree and Brian Jerusik, DO Reviewed 05/2023

BASICS

DESCRIPTION

Acute decompensated heart failure (ADHF) is a heterogenous group of related syndromes with new-onset or recurrence of cardiac pump function impairment severe enough for patients to s...

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. See Heart Failure: Ch...

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

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 Heart Associati...

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 PEARL

Look for an underlying cause of each episode of ADHF.

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