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Home > West Medicine > Internal Medicine > Cardiology
I50.907

Acute Heart Failure

心内科

Common symptoms

驻站医、心悸伴乏力、面色苍白、四肢抽搐、心率增快、颈静脉怒张、呼吸暂停样现象、抽搐、心排血量增多、心源性晕厥、端坐呼吸、粉红色泡沫痰

The pathology of disease

Acute heart failure is sudden-onset severe ventricular dysfunction presenting as acute pulmonary edema or cardiogenic shock. It is an emergency. Clinical: severe dyspnea, orthopnea, pink frothy sputum, hypoxemia, hypotension. Treatment: hospitalize/ICU; oxygen/noninvasive ventilation; IV loop diuretics; vasodilators (if BP permits); inotropes/vasopressors for cardiogenic shock; treat precipitant (ischemia/arrhythmia/valve); mechanical circulatory support if needed.

Common Symptoms

Severe dyspnea; pulmonary edema; hypoxemia; hypotension/cardiogenic shock; acute onset

Causes and Pathogenesis

Acute precipitant (ischemia/arrhythmia/valve/drug) causes sudden ventricular decompensation.

Treatment

Oxygen/NIV; IV diuretics; vasodilators; inotropes/vasopressors; treat precipitant; MCS if needed

Preventive Measures

GDMT adherence; early treatment of precipitants.

Department to Visit

It is recommended to visit the Cardiology/Emergency-ICU department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.