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Heart Failure, Chronic

Afsha Rais Kaisani, FAAFP, MD, Tasaduq Hussain Mir, FAAFP, MD and Tamanna Vir, DO Reviewed 04/2024
 


BASICS

DESCRIPTION

Heart failure (HF) results from inability of the heart to fill and/or pump blood sufficiently to meet tissue metabolic needs. Occurs when adequate cardiac output can be achieved only...

DIAGNOSIS

The Framingham criteria can be used during initial evaluation of suspected HF. 2 major criteria or 1 major and 2 minor criteria must be met. Major criteria include: acute pulmonary edema, ca...

TREATMENT

GENERAL MEASURES

Focus on comorbidities and risk stratification, improving hemodynamics, nonpharmacological management, and blocking neurohormonal response to improve survival and symptoms (...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Close outpatient follow-up after hospitalization to decrease frequency of readmission 

Patient Monitoring

Monitor for leg edema and sudden weight changes, which ind...

REFERENCES

1
Kittleson M, Panjrath G, Amancherla K, et al. 2023 ACC Expert Consensus Decision Pathway on Management of Heart Failure With Preserved Ejection Fraction. J Am Coll Cardiol. 2023;81(18):183...

SEE ALSO

Algorithm: Congestive Heart Failure: Differential Diagnosis 

CODES

ICD10

  • I50.9 Heart failure, unspecified

  • I50.1 Left ventricular failure

  • I50.22 Chronic systolic (congestive) heart failure

  • I50.32 Chronic diastolic (congestive) heart failure

  • I50.42 Chronic combined sy...

CLINICAL PEARLS

  • Core medications for management: β-Blockers, ACEi/ARB, and aldosterone antagonists

  • Have patients weigh themselves and report weight gains of >2lb in a day or 5lb above dry weight.

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