Clinical Presentation of Heart Failure
Summary :
Table of Contents
- Acute Heart Failure
- Chronic Heart Failure
- Heart failure with preserved systolic function
- Factors precipitating acute decompensation of chronic heart failure
- Conclusions
- Bibliography
Abstract
Acute heart failure usually presents as shortness of breath, culminating, sometimes in a matter of minutes, with pulmonary edema. A more subacute presentation is of progressive dyspnea associated with systemic fluid retention over days to a few weeks.
The precipitous form usually suggests extensive acute damage, most commonly as an ongoing or recent MI. Other insults include the acute development of valvular regurgitation from ruptured chordae tendineae, bacterial endocarditis, or aortic dissection or of rapidly progressive myocarditis or toxic damage. The syndrome may progress to cardiogenic shock.
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