Heart Failure and Kidney Disease: Management in the Short-Stay Unit
Stage Description GFR (mL/min/1.73 m2) 1 Kidney damage with normal or ↑ GFR ≥90 2 Kidney damage with mild ↓ GFR 60–89 3 Moderate ↓ GFR 30–59 4 Severe ↓…
Volume Assessment in Heart Failure
Finding Summary LR (95 % CI) Sensitivity Specificity Positive Negative Initial clinical judgment 0.61 0.86 4.4 (1.8–10.0) 0.45 (0.28–0.73) History Heart failure 0.60 0.90 5.8 (4.1–8.0) 0.45 (0.38–0.53) Myocardial infarction…
Implications of Atrial Fibrillation in Heart Failure Management
Acute Thromboembolic events, including stroke Myocardial infarction Cardiogenic shock Acute renal failure Ventricular tachycardia/fibrillation Syncope Subacute Cognitive dysfunction Diminished quality of life Chronic renal failure Peripheral edema Tachycardia-mediated cardiomyopathy Chronic…
Observation Unit Admission Inclusion and Exclusion Criteria
, Sean Collins2 and Gregory J. Fermann3 (1) Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA (2) Department of Emergency Medicine, Vanderbilt University, 2201 West End Ave, Nashville, TN 37235, USA…
Diagnostic and Prognostic Biomarkers in Emergency Department Heart Failure
BNP NT-proBNP Components BNP molecule NT fragments (1–76) NT-proBNP (1–108) Molecular weight 4 kDa 8.5 kDa Genesis Cleavage from NT-proBNP Release from ventricular myocytes Half-life 20 min 120 min…
Dyspnea Assessment and Airway Management in Acute Heart Failure Patients
Class I Patients with cardiac disease but without resulting limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea, or anginal pain. Class II Patients with…
Cardiac Implantable Electronic Devices
© Springer International Publishing Switzerland 2017W. Frank Peacock (ed.)Short Stay Management of Acute Heart FailureContemporary Cardiology10.1007/978-3-319-44006-4_22 22. Cardiac Implantable Electronic Devices Brian Hiestand1 (1) Department of Emergency Medicine, Wake Forest School of Medicine, Medical Center…
Drugs to Avoid in Acute Decompensated Heart Failure (ADHF): Contraindicated Medications and Interactions
© Springer International Publishing Switzerland 2017W. Frank Peacock (ed.)Short Stay Management of Acute Heart FailureContemporary Cardiology10.1007/978-3-319-44006-4_20 20. Drugs to Avoid in Acute Decompensated Heart Failure (ADHF): Contraindicated Medications and Interactions Lindsey Aurora1 and James McCord2 (1)…
Outpatient Medication Titration in Acute Heart Failure
Medication Initial dosage Titration Target dosage Angiotensin-converting enzyme inhibitor Lisinopril [3] 5 mg daily Double every 4 weeks 20–40 mg daily Enalapril [4, 19] 2.5–5 mg BID Double every 1–2…
Effective Discharge Planning
© Springer International Publishing Switzerland 2017W. Frank Peacock (ed.)Short Stay Management of Acute Heart FailureContemporary Cardiology10.1007/978-3-319-44006-4_18 18. Effective Discharge Planning Sudha P. Jaganathan1 , Ginger Conway2 and Stephanie Dunlap3 (1) Department of Cardiology, University of Cincinnati Medical Center, Cincinnati,…
