Signs and examination findings Pulmonary edema Rales and/or wheeze Cyanosis S3 S4 JVD Hepatojugular reflux Hepatosplenomegaly Ascites Pitting edema S4 Weight gain HF: heart failure JVD: jugular venous distention New York Heart Association (NYHA) functional classification[1,2,13,22] This sy...
Point-of-care ultrasound diagnoses acute decompensated heart failure in the ED regardless of examination findings. Am J Emerg Med 2014;32(4):385-8.Anderson,K.L.,Jenq,etc.Point-of-care ultrasound diagnoses acute decompensated heart failure in the ED regardless of examination findings[J].2014,4...
Heart failure (HF) is a major cardiovascular disease worldwide, and the early detection and diagnosis remain challenges. Recently, heart rhythm complexity analysis, derived from non-linear heart rate variability (HRV) analysis, has been proposed as a non
improve symptoms, and prevents worsening of heart failure. Loop diuretics are preferred over thiazide diuretics, with no discernible scientific evidence favoring one loop diuretic over another in heart failure patients.
Sclvaraj S, Claggett B, Pozzi A, McMuqrray JJV, Jhund PS, Packer M et al (2019) Prognostic implications of congestion on physical examination among contemporary patients with heart failure and reduced ejection fraction – PARADIGM-HF. Circulation 140:1369–1379. https://doi.org/10.1161/circula...
Physical ExaminationHeart SoundsDiastoleSystoleHeart FailureVentricular Dysfunction, LeftClinical CompetenceElectrocardiographyWe systematically reviewed the literature to ascertain how well clinicians determine the probability and type of in their patients. is characterized by decreased left ventr...
Echo = echocardiography; HFrEF = heart failure with reduced ejection fraction; LVEDD = left ventricular end diastolic dimension; MRI = magnetic resonance imaging. Clinical examination, symptomatology, and electrocardiogram Jugular venous distension and signs of volume overload are particularly concerning in...
HF is a clinical syndrome characterized by specific symptoms (e.g. shortness of breath and reduced exercise capacity) as well as physical examination findings. HF has traditionally been described by a depressed ejection fractions ranging from <30-45% with <40% used as a criteria that is genera...
Heart failure is a global public health problem that affects more than 26 million people worldwide. The global burden of heart failure is growing and is expected to increase substantially with the ageing of the population. Heart failure with reduced ejec
An S4 heart sound is always pathologic and can indicate diastolic heart failure, left ventricular hypertrophy or active myocardial ischemia. Factors that increase the intensity of the S1 heart sound include short PR interval, fast heart rate and mild mitral stenosis. ...