Abstract
A 77 year-old male with a past medical history significant for ischemic cardiomyopathy with resultant congestive heart failure (CHF) and an ejection fraction (EF) 35%, diabetes mellitus, hypertension and dyslipidemia presented to the emergency department (ED) with shortness of breath, palpitations, increasing abdominal girth, and lower extremity edema. He states that these symptoms first began two weeks ago, at which time he was asked to increase his outpatient dose of furosemide without improvement of his symptoms. At baseline he is able to perform his activities of daily living: however, he is now becoming dyspneic even with minimal exertion. Additionally, he mentions a new three-pillow orthopnea and an 11 pound weight gain. He denies any dietary indiscretion or excess fluid intake.
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Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL, Johnson MR, Kasper EK, Levy WC, Masoudi FA, PE MB, JJ MM, Mitchell JE, Peterson PN, Riegel B, Sam F, Stevenson LW, Tang WH, Tsai EJ, Wilkoff BL, American College of Cardiology Foundation, American Heart Association Task Force on Practice Guidelines. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;62:e147–239.
Hummel A, Empe K, Dorr M, Felix SB. De novo acute heart failure and acutely decompensated chronic heart failure. Dtsch Arztebl Int. 2015;112:298–310.
El-Menyar A, Zubaid M, AlMahmeed W, Sulaiman K, AlNabti A, Singh R, Al SJ. Killip classification in patients with acute coronary syndrome: insight from a multicenter registry. Am J Emerg Med. 2012;30:97–103.
Flaherty JD, Bax JJ, De Luca L, Rossi JS, Davidson CJ, Filippatos G, Liu PP, Konstam MA, Greenberg B, Mehra MR, Breithardt G, Pang PS, Young JB, Fonarow GC, Bonow RO, Gheorghiade M, Acute Heart Failure Syndromes International Working Group. Acute heart failure syndromes in patients with coronary artery disease early assessment and treatment. J Am Coll Cardiol. 2009;53:254–63.
Stout KK, Verrier ED. Acute valvular regurgitation. Circulation. 2009;119:3232–41.
Roberts WC, Ko JM, Moore TR, Jones WH 3rd. Causes of pure aortic regurgitation in patients having isolated aortic valve replacement at a single us tertiary hospital (1993 to 2005). Circulation. 2006;114:422–9.
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Chaudhry, S.P., Abbasi, S.A. (2018). Acute Decompensated Heart Failure. In: Shah, R., Abbasi, S. (eds) Clinical Cases in Heart Failure. Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-65804-9_3
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DOI: https://doi.org/10.1007/978-3-319-65804-9_3
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