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PD - Heart Failure Report
PD - Heart Failure Report
Heart Failure
A
Heart Failure
Heart Failure
Heart Failure
Systolic Failure
HF with depressed EF
Diastolic Failure
HF with preserved EF
multiple
causes
of
this
Signs and
Symptom Onset Symptoms
Usually gradual
Peripheral edema
(often significant),
dyspnea, usually
well-perfused
extremities
Dyspnea, altered
mental status,
possible
oliguria/anuria
Hemodynamics
SBP: Low
normal/high
CI: Low
normal/high
PCWP: Mildly
increased
SBP: High
(>180/100 mm Hg)
Other
Diagnostics
CXR: Normal or
mild interstitial
edema, possible
pleural effusion
CXR: Normal or
interstitial edema
Severe dyspnea,
tachypnea,
tachycardia
Evidence of
hypoperfusion;
oliguria
SaO2: <90%
CXR: Alveolar
edema
Classification and Common Clinical Characteristics of Patients with Acute Heart Failure
Clinical Classification
IVb Severe
cardiogenic shock
Symptom Onset
Often rapid
Signs and
Symptoms
Marked
hypoperfusion;
oliguria/anuria
Hemodynamics
SBP: <90 mm Hg
CI: Very low, < 1.8
liters/min/m2
Other Diagnostics
Usually in presence
of severe
LV systolic
dysfunction
PCWP: >18 mm Hg
V High output failure Rapid or gradual
Well-perfused
extremities; often
tachycardic
SBP: Variable
CI: Increased
PCWP: Normal or
increased
Edema, markedly
SBP: Low
elevated neck veins, CI: Low
often poor perfusion, PCWP: Low
but clear lungs
Pathophysiology
Treatment of CHF
Treatment of Acute
Heart Failure