Heart Failure, Acutely Decompensated

Muhammad I. Durrani, MS, DO, Akash Ray, Doctor of Osteopathic Medicine and Kayla Hempel, Doctor of Osteopathic Medicine Reviewed 06/2022

BASICS

DESCRIPTION

Acute decompensated heart failure (ADHF) is a heterogenous group of related syndromes with new-onset or recurrence of cardiac pump function impairment. ADHF may be due to complicatio...

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

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/Ame...

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.

Subscribe to Access Full Content

START 10-DAY FREE TRIAL

Subscribe Now

Forgot password?

Enter an Access Code

GET CME/CE