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Acute Heart Failure

 Syn. ADHF , Acute decompensated heart failure

Signs & Symptoms

 Sudden sensation of suffocation
Note: ADHF with severe pulmonary edema, Less than 3 percent of ADHF
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Progressive dyspnea
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Chronic Heart Failure
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Overwhelming sensation of suffocation
Note: ADHF with severe pulmonary edema, Less than 3 percent of ADHF
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]

Physical Examination

 Systolic blood pressure <90 mmHg #Cardiogenic_shock
Note: Cardiogenic shock
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Disorientation
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Wide pulse pressure #High-output_heart_failure
Note: High-output heart failure
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]

Lab / Serology

 Abnormal hepatic enzymes #Cardiogenic_shock
Note: Cardiogenic shock
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Prerenal azotemia #Cardiogenic_shock
Note: Cardiogenic shock
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Elevated lactic acid level #Cardiogenic_shock
Note: Cardiogenic shock
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]

Imagin Study

 Right Pleural effusion
Note: More frequent in the right pleural cavity than in the left, As a modility
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Pleural effusion
Note: More frequent in the right pleural cavity than in the left, As a modility
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Interstitial edema
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]

Complication

 Anorexia
Note: due to Hepatic congestion
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Nausea
Note: due to Hepatic congestion
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]

Risk Factors

Cause

 Cardiomyopathy
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Bilateral renal artery stenosis
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]
Severe aortic valve regurgitation
Ref: Uptodate [ Approach to acute decompensated heart failure in adults]

Other