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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

1
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.

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