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3 years ago
The emergency department (ED) plays a critical role in the initial diagnosis and management of acute heart failure (AHF),1,2 as nearly 80 % of all AHF admissions originate from the ER.3 However, patients do not present with a diagnosis; rather they present with a chief complaint reflecting signs and symptoms – most commonly breathlessness. Differentiating AHF from other causes of breathlessness…
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Start date:
Jan 12, 2016
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Added:
3 years ago
Dear Editor,
Case Presentation
A 50-year old female presented to the emergency department with a 6-day history of fever, progressively worsening cough and shortness of breath. The patient did not report any contact with anyone who had been recently unwell or had been travelling. Upon arrival to the emergency room, the patient was noted to be severely hypoxaemic by pulse oximetry (66%) and in…
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Added:
10 months ago
Added:
3 years ago
Acute heart failure (AHF) is a leading cause of hospitalisation in developed nations, responsible for 67,000 admissions a year in the UK alone, an incidence which is set to increase with an ageing population.1 The prognosis remains poor: in-hospital mortality ranges from 4–11 % and in those patients surviving to discharge 50 % will be re-admitted and one-third will die within 12 months.2–6 These…
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Added:
3 years ago
Heart failure (HF) and chronic obstructive pulmonary disease (COPD) comorbidity poses substantial diagnostic and therapeutic challenges in acute care settings. Outcomes of this comorbidity are worse than in either disease alone.1,2 A hospital diagnosis of COPD is an independent predictor of all-cause and non-cardiovascular mortality in HF patients,3–5 associated with decrease in use of evidence…
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