What is the common differential diagnosis for CHF?
What is the common differential diagnosis for CHF?
Differentiating Congestive Heart Failure from other Diseases
| Organ System | Disease | Signs |
|---|---|---|
| Pulmonary | Pulmonary hypertension | Edema, clubbing, elevated JVP, TR murmur |
| Sleep apnea | tachypnea, hypertension, tachycardia | |
| High output status | Anemia | Cheilosis, delayed capillary refill |
| Thyrotoxicosis | Proptosis, tachycardia |
How is decompensated heart failure diagnosed?
Symptoms and physical examination are the primary diagnostic tools available to help physicians determine if their patient has acute decompensated heart failure. A normal or low BNP and/or pro-BNP level argues strongly against this as a diagnosis.
What is considered decompensated heart failure?
Decompensated heart failure (DHF) is defined as a clinical syndrome in which a structural or functional change in the heart leads to its inability to eject and/or accommodate blood within physiological pressure levels, thus causing a functional limitation and requiring immediate therapeutic intervention(1).
What is the difference between decompensated and compensated heart failure?
Decompensated. Your doctor may describe your heart failure based on the strength of your heart and how your body is responding. Compensated heart failure means your heart works well enough that you either don’t notice any problems or the symptoms are easy to manage.
What is meant by differential diagnosis?
A differential diagnosis looks at the possible disorders that could be causing your symptoms. It often involves several tests. These tests can rule out conditions and/or determine if you need more testing.
How serious is decompensated heart failure?
Acute decompensated heart failure (ADHF) is a sudden worsening of the signs and symptoms of heart failure, which typically includes difficulty breathing (dyspnea), leg or feet swelling, and fatigue. ADHF is a common and potentially serious cause of acute respiratory distress.
How long can you live with decompensated heart failure?
Several studies investigated the short- and intermediate-term risk of death after discharge for acutely decompensated heart failure (ADHF). In patients aged 65 years or more, overall mortality ranged from 25% to 40% after 1 year [4–15] and from 22% to 52.9% after 2 years [16–18].
Is acute heart failure the same as decompensated heart failure?
Heart failure is a state of reduced cardiac output, in which the heart cannot pump blood around the body effectively. When symptoms appear suddenly, or a person experiences rapid worsening of existing symptoms of heart failure, this is called acute heart failure (AHF) or acute decompensated heart failure (ADHF).
What is the difference between compensated and decompensated shock?
With compensated shock, the body is able to take measures to maintain blood pressure, however as shock worsens, the body becomes unable to keep up. At this point, perfusion of vital organs is no longer maintained. Symptoms of decompensated shock include: Falling blood pressure (systolic of 90 mmHg or lower with adults)
What is compensated cirrhosis vs decompensated?
Compensated: When you don’t have any symptoms of the disease, you’re considered to have compensated cirrhosis. Decompensated: When your cirrhosis has progressed to the point that the liver is having trouble functioning and you start having symptoms of the disease, you’re considered to have decompensated cirrhosis.
What is the acute decompensated heart failure National Registry?
The Acute Decompensated Heart Failure National Registry (ADHERE): opportunities to improve care of patients hospitalized with acute decompensated heart failure. Rev Cardiovasc Med 2003; 4 Suppl 7:S21.
Which is a differential diagnosis of heart failure?
Heart Failure. Emphysema is included in the differential diagnosis of heart failure. In this radiograph, emphysema bubbles are noted in the left lung; these can severely impede breathing capacity.
What causes dyspnea and can be mistaken for heart failure?
There are many diagnostic entities that can cause dyspnea and mimic the symptoms of heart failure. Particularly in obese patients who are poorly conditioned at baseline, many other causes of dyspnea can be mistaken for heart failure. Examples include pulmonary embolism, pneumonia, pericardial effusion, and COPD.
How is an echocardiogram used to diagnose heart failure?
Bedside echocardiogram is a crucial diagnostic tool to help confirm the diagnosis of heart failure. The onus is on the emergency clinician to learn to use ultrasound as a diagnostic tool for diagnosis of heart failure and other ED presentations. 3. “The patient was short of breath, so I started treatment for heart failure.”