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Heart Failure pp 171-193 | Cite as

Acute Decompensated Heart Failure: Presentation, Physical Exam, and Laboratory Evaluation

  • Daniel Fishbein
Chapter

Abstract

ADHF may be a manifestation of any abnormality of cardiovascular function. Most patients have a prior history of heart failure. Patients with chronic heart failure may have a history of gradually worsening symptoms of pulmonary and systemic venous congestion over several days to weeks or may have more rapid development of symptoms commonly associated with a clear precipitant (examples: new onset atrial fibrillation with rapid ventricular response in a patient with HFpEF; ACS in a patient with an ischemic cardiomyopathy). Approximately 25 % of patients with ADHF have new onset or de novo heart failure – many of these patients have associated ACS or poorly controlled hypertension [1].

Keywords

Heart Failure Chronic Heart Failure Acute Heart Failure Right Atrial Right Atrial Pressure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag London 2017

Authors and Affiliations

  1. 1.Department of Medicine, Division of CardiologyUniversity of Washington Medical CenterSeattleUSA

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