Electronic ISSN 2287-0237

VOLUME

ACUTE DECOMPENSATED HEART FAILURE. WHAT ARE WE MISSING?

FEBRUARY 2012 - VOL.3 | REVIEWS ARTICLE
Terminology

  1. Acute decompensated heart failure
  2. Acute heart failure syndrome
  3. Acute heart failure
  4. Hospitalized heart failure

 

Keywords:

Acute decompensated heart failure, pulmonary congestion, left ventricular ejection fraction

MEDIA
Table 1.
Demographics and concomitant diseases of acute decompensated heart failure.
Table 2:
Clinical Presentation of Patients Hospitalized with Heart Failure.
Table 3:
Diagnostic value of clinical markers of congestion.
Table 4:
The most useful symptoms and signs
Figure 1:
Example of an examination bed
Figure 2:
Examples of examination light source
Figure 3:
Measurement of jugular venous pressure.
Figure 4:
A study by Fonarow26 which demonstrated that if PCWP waslower than 16 mm Hg at discharge, the mortality at 24 months was better than for those whose PCWP was higher than 16 mm Hg. There is no mortality difference between the 2 groups that have cardiac index higher or lower than 2.6 L/min/M2
Figure 5:
A study by Lucas C, et al.27 which shows the linear relationship between the degree of congestion and survival rate at 18 months: the less congestion, the better survival rate.
Table 5:
List of inotrope studies over the past 20 years28-44
Table 6:
Data of inotrope utilization frequency continue to be high
Figure 6:
Results of the most recent randomized control trial for milrinone, a phosphodiesterest inhibitor inotrope in ADHF. All the end points in this figure showed deleterious effects from milrinone when compared with a placebo. These end points included treatment failure from adverse events, sustained hypotension, acute myocardial infarction, atrial fibrillation and mortality; 4 out of 6 had statistic significance.30
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