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{{Congestive heart failure}}
{{Congestive heart failure}}
{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; Atif Mohammad, MD
{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; Atif Mohammad, M.D.


'''''Synonyms and Related Key Words:''''' CHF, pump failure, left heart failure, right heart failure, chronic heart failure, acute heart failure, flash pulmonary edema, congestion, systolic dysfunction, LV dysfunction, LV failure, impaired filling, reduced cardiac output, pulmonary edema
'''''Synonyms and Related Key Words:''''' CHF, pump failure, left heart failure, right heart failure, chronic heart failure, acute heart failure, flash pulmonary edema, congestion, systolic dysfunction, LV dysfunction, LV failure, impaired filling, reduced cardiac output, pulmonary edema
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[[Congestive heart failure clinical assessment|Clinical Assessment]] | [[Congestive heart failure history and symptoms|History & Symptoms]] | [[Congestive heart failure physical examination|Physical Examination]] | [[Congestive heart failure laboratory tests|Lab Tests]] | [[Congestive heart failure electrocardiogram|Electrocardiogram]] | [[Congestive heart failure chest x ray|Chest X Ray]] | [[Congestive heart failure echocardiography|Echocardiography]] | [[Congestive heart failure imaging modalities|Imaging Modalities]] | [[Congestive heart failure other diagnostic studies|Other Diagnostic Studies]]
[[Congestive heart failure clinical assessment|Clinical Assessment]] | [[Congestive heart failure history and symptoms|History & Symptoms]] | [[Congestive heart failure physical examination|Physical Examination]] | [[Congestive heart failure laboratory tests|Lab Tests]] | [[Congestive heart failure electrocardiogram|Electrocardiogram]] | [[Congestive heart failure chest x ray|Chest X Ray]] | [[Congestive heart failure echocardiography|Echocardiography]] | [[Congestive heart failure imaging modalities|Imaging Modalities]] | [[Congestive heart failure other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==[[Congestive heart failure overview of treatment|Treatment]]==
====Medical Therapy:====
: '''[[Congestive heart failure overview of treatment#Acute Pharmacotherapy|Acute Pharmacotherapy]]'''
: '''[[Congestive heart failure overview of treatment#Chronic Pharmacotherapy|Chronic Pharmacotherapy]]:''' [[Congestive heart failure overview of treatment#Diuretics|Diuretics]] | [[Congestive heart failure overview of treatment#Renin-Angiotensin-Aldosterone Axis Inhibitors|Renin-Angiotensin-Aldosterone Axis Inhibitors]] | [[Congestive heart failure overview of treatment#Nitrates|Nitrates]] | [[Congestive heart failure overview of treatment#Anticoagulants|Anticoagulants]] | [[Congestive heart failure overview of treatment#Beta Blockers|Beta Blockers]] | [[Congestive heart failure overview of treatment#Antiarrhythmic Drugs|Antiarrhythmic Drugs]] | [[Congestive heart failure overview of treatment#Positive Inotropics|Positive Inotropics]] | [[Congestive heart failure overview of treatment#Metformin|Metformin]] | [[Congestive heart failure overview of treatment#Ca Channel Blockers|Ca Channel Blockers]]


====[[Congestive heart failure overview of treatment|Treatment Overview]]====
====Surgical Therapy:====
[[Congestive heart failure overview of treatment#Biventricular Pacing or Cardiac Resynchronization Therapy (CRT)|Biventricular Pacing or Cardiac Resynchronization Therapy (CRT)]] | [[Congestive heart failure overview of treatment#Implantation of Intracardiac Defibrillator|Implantation of Intracardiac Defibrillator]] | [[Congestive heart failure overview of treatment#Ultrafiltration|Ultrafiltration]] | [[Congestive heart failure overview of treatment#Left Ventricular Assist Devices (LVADs)|Left Ventricular Assist Devices (LVADs)]] | [[Congestive heart failure overview of treatment#Cardiac Transplantation|Cardiac Transplantation]] | [[Congestive heart failure overview of treatment#Invasive Monitoring|Invasive Monitoring]]


====[[Congestive heart failure AHA recommendations for hospitalized patient|Treatment Recommendations for Hospitalized Patients]]====
==Guideline Recommendations==
=====[[Congestive heart failure AHA recommendations for hospitalized patient|Hospitalized Patients]]=====


====[[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)|Treatment of Patients at High Risk for Developing Heart Failure (Stage A)]]====
=====[[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)|Patients at high risk for developing heart failure (Stage A)]]=====


====[[Congestive heart failure treatment of patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)|Treatment of Patients with Cardiac Structural Abnormalities or Remodeling who have not Developed Heart Failure Symptoms (Stage B)]]====
=====[[Congestive heart failure treatment of patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)|Patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)]]=====


====[[Congestive heart failure treatment of patients with current or prior symptoms of heart failure (Stage C)|Treatment of Patients with Current or Prior Symptoms of Heart Failure (Stage C)]]====
=====[[Congestive heart failure treatment of patients with current or prior symptoms of heart failure (Stage C)|Patients with current or prior symptoms of heart failure (Stage C)]]=====


====[[Congestive heart failure treatment of patients with refractory end-stage heart failure (Stage D)|Treatment of Patients With Refractory End-Stage Heart Failure (Stage D)]]====
=====[[Congestive heart failure treatment of patients with refractory end-stage heart failure (Stage D)|Patients with refractory end-stage heart failure (Stage D)]]=====


====[[Congestive heart failure treatment of special populations|Treatment of Special Populations]]====
==[[Congestive heart failure implementation of practice guidelines|Implementation of Practice Guidelines]]==
 
====[[Congestive heart failure treatment patients who have concomitant disorders|Treatment of Patients with Heart Failure who have Concomitant Disorders]]====


==[[Congestive heart failure end-of-life considerations|End-Of-Life Considerations]]==
==[[Congestive heart failure end-of-life considerations|End-Of-Life Considerations]]==


==[[Congestive heart failure implementation of practice guidelines|Implementation of Practice Guidelines]]==
==Specific Groups==
[[Congestive heart failure treatment of special populations|Special Populations]] | [[Congestive heart failure treatment of patients who have concomitant disorders|Patients who have concomitant disorders]] | [[Congestive heart failure overview of treatment#Obstructive Sleep Apnea in the Patient with CHF|Obstructive Sleep Apnea in the Patient with CHF]]


==Guidelines Resources==
==Guidelines Resources==

Revision as of 16:45, 2 November 2011

For patient information click here

Heart failure
ICD-10 I50.0
ICD-9 428.0
DiseasesDB 16209
MedlinePlus 000158
MeSH D006333
Congestive Heart Failure Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Systolic Dysfunction
Diastolic Dysfunction
HFpEF
HFrEF

Causes

Differentiating Congestive heart failure from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Clinical Assessment

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

Cardiac MRI

Echocardiography

Exercise Stress Test

Myocardial Viability Studies

Cardiac Catheterization

Other Imaging Studies

Other Diagnostic Studies

Treatment

Invasive Hemodynamic Monitoring

Medical Therapy:

Summary
Acute Pharmacotherapy
Chronic Pharmacotherapy in HFpEF
Chronic Pharmacotherapy in HFrEF
Diuretics
ACE Inhibitors
Angiotensin receptor blockers
Aldosterone Antagonists
Beta Blockers
Ca Channel Blockers
Nitrates
Hydralazine
Positive Inotropics
Anticoagulants
Angiotensin Receptor-Neprilysin Inhibitor
Antiarrhythmic Drugs
Nutritional Supplements
Hormonal Therapies
Drugs to Avoid
Drug Interactions
Treatment of underlying causes
Associated conditions

Exercise Training

Surgical Therapy:

Biventricular Pacing or Cardiac Resynchronization Therapy (CRT)
Implantation of Intracardiac Defibrillator
Ultrafiltration
Cardiac Surgery
Left Ventricular Assist Devices (LVADs)
Cardiac Transplantation

ACC/AHA Guideline Recommendations

Initial and Serial Evaluation of the HF Patient
Hospitalized Patient
Patients With a Prior MI
Sudden Cardiac Death Prevention
Surgical/Percutaneous/Transcather Interventional Treatments of HF
Patients at high risk for developing heart failure (Stage A)
Patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)
Patients with current or prior symptoms of heart failure (Stage C)
Patients with refractory end-stage heart failure (Stage D)
Coordinating Care for Patients With Chronic HF
Quality Metrics/Performance Measures

Implementation of Practice Guidelines

Congestive heart failure end-of-life considerations

Specific Groups:

Special Populations
Patients who have concomitant disorders
Obstructive Sleep Apnea in the Patient with CHF
NSTEMI with Heart Failure and Cardiogenic Shock

Congestive heart failure On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Congestive heart failure

CDC on Congestive heart failure

Congestive heart failure in the news

Blogs on Congestive heart failure

Directions to Hospitals Treating Congestive heart failure

Risk calculators and risk factors for Congestive heart failure

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Atif Mohammad, M.D.

Synonyms and Related Key Words: CHF, pump failure, left heart failure, right heart failure, chronic heart failure, acute heart failure, flash pulmonary edema, congestion, systolic dysfunction, LV dysfunction, LV failure, impaired filling, reduced cardiac output, pulmonary edema

Overview

Classification

Pathophysiology

Epidemiology and Demographics

Natural history, complications & prognosis

Causes

Risk Factors

Differential Diagnosis

Diagnosis

Clinical Assessment | History & Symptoms | Physical Examination | Lab Tests | Electrocardiogram | Chest X Ray | Echocardiography | Imaging Modalities | Other Diagnostic Studies

Treatment

Medical Therapy:

Acute Pharmacotherapy
Chronic Pharmacotherapy: Diuretics | Renin-Angiotensin-Aldosterone Axis Inhibitors | Nitrates | Anticoagulants | Beta Blockers | Antiarrhythmic Drugs | Positive Inotropics | Metformin | Ca Channel Blockers

Surgical Therapy:

Biventricular Pacing or Cardiac Resynchronization Therapy (CRT) | Implantation of Intracardiac Defibrillator | Ultrafiltration | Left Ventricular Assist Devices (LVADs) | Cardiac Transplantation | Invasive Monitoring

Guideline Recommendations

Hospitalized Patients
Patients at high risk for developing heart failure (Stage A)
Patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)
Patients with current or prior symptoms of heart failure (Stage C)
Patients with refractory end-stage heart failure (Stage D)

Implementation of Practice Guidelines

End-Of-Life Considerations

Specific Groups

Special Populations | Patients who have concomitant disorders | Obstructive Sleep Apnea in the Patient with CHF

Guidelines Resources

References


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