Richard L Summers, Sarah Sterling
PURPOSE OF REVIEW: Acute decompensated heart failure (ADHF) is characterized by a complex spectrum of pathophysiology that emerges as a common clinical disease state, which manifests as a failure of the circulation to provide for the needs of the body systems. Whereas ADHF is often characterized by the findings of pulmonary congestion and dyspnea, a variety of clinical presentations are possible, with each requiring differing management strategies. This review examines the approach of the four-quadrant clinical profile for differentiation of the ADHF patient during the emergent resuscitative phase of the decompensation...
August 2012: Current Opinion in Critical Care
Marco Metra, G Michael Felker, Valerio ZacĂ , Silvia Bugatti, Carlo Lombardi, Luca Bettari, Adrian A Voors, Mihai Gheorghiade, Livio Dei Cas
Acute heart failure (HF) is the most common diagnosis at discharge in patients aged >65years. It carries a dismal prognosis with a high in-hospital mortality and very high post-discharge mortality and re-hospitalization rates. It is a complex clinical syndrome that cannot be described as a single entity as it varies widely with respect to underlying pathophysiologic mechanisms, clinical presentations and, likely, treatments. It is the aim of this paper to describe some of the main clinical presentations of acute HF...
October 8, 2010: International Journal of Cardiology
John J V McMurray
No abstract text is available yet for this article.
January 21, 2010: New England Journal of Medicine
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