Congestive heart failure: Difference between revisions
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'''For patient information click [[{{PAGENAME}} (patient information)|here]]''' | '''For patient information click [[{{PAGENAME}} (patient information)|here]]''' | ||
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{{Congestive heart failure}} | {{Congestive heart failure}} | ||
{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; {{LG}}; Atif Mohammad, M.D. | {{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; {{LG}}; 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 | ||
==[[Congestive heart failure overview|Overview]]== | == [[Congestive heart failure overview|Overview]] == | ||
==[[Congestive heart failure classification|Classification]]== | == [[Congestive heart failure classification|Classification]] == | ||
== [[Congestive heart failure pathophysiology|Pathophysiology]] == | |||
[[Congestive heart failure pathophysiology#Systolic dysfunction|Systolic dysfunction]] | [[Congestive heart failure pathophysiology#Diastolic dysfunction|Diastolic dysfunction]] | [[Congestive heart failure pathophysiology#Systolic dysfunction|Systolic dysfunction]] | [[Congestive heart failure pathophysiology#Diastolic dysfunction|Diastolic dysfunction]] | ||
==[[Congestive heart failure | == [[Congestive heart failure causes|Causes]] == | ||
== [[Congestive heart failure differential diagnosis|Differentiating Chronic Heart Failure from other Diseases]] == | |||
==[[Congestive heart failure | == [[Congestive heart failure epidemiology and demographics|Epidemiology and Demographics]] == | ||
==[[Congestive heart failure risk factors| Risk Factors]]== | == [[Congestive heart failure risk factors|Risk Factors]] == | ||
==[[Congestive heart failure | == [[Congestive heart failure natural history|Natural history, Complications and Prognosis]] == | ||
== | == Diagnosis == | ||
[[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 cardiac MRI|Cardiac MRI]] | [[Congestive heart failure exercise stress testing|Exercise Stress Test]] | [[Congestive heart failure myocardial viability study|Myocardial Viability Studies]] | [[Congestive heart failure cardiac catheterization|Cardiac Catheterization]] | [[Congestive heart failure endomyocardial biopsy|Endomyocardial biopsy]] | [[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 cardiac MRI|Cardiac MRI]] | [[Congestive heart failure exercise stress testing|Exercise Stress Test]] | [[Congestive heart failure myocardial viability study|Myocardial Viability Studies]] | [[Congestive heart failure cardiac catheterization|Cardiac Catheterization]] | [[Congestive heart failure endomyocardial biopsy|Endomyocardial biopsy]] | ||
==Treatment== | == Treatment == | ||
==== [[Congestive heart failure invasive monitoring|Invasive Hemodynamic Monitoring]] ==== | |||
==== | ==== Medical Therapy: ==== | ||
: '''[[Congestive heart failure acute pharmacotherapy|Acute Pharmacotherapy]]''' | : '''[[Congestive heart failure acute pharmacotherapy|Acute Pharmacotherapy]]''' | ||
: '''Chronic Pharmacotherapy:''' [[Congestive heart failure diuretics|Diuretics]] | [[Congestive heart failure ACE inhibitors|ACE Inhibitors]] | [[Congestive heart failure angiotensin receptor blockers|Angiotensin receptor blockers]] | [[Congestive heart failure aldosterone antagonists|Aldosterone Antagonists]] | [[Congestive heart failure beta blockers|Beta Blockers]] | [[Congestive heart failure calcium channel blockers|Ca Channel Blockers]] | [[Congestive heart failure vasodilators|Nitrates]] | [[Congestive heart failure vasodilators|Hydralazine]] | [[Congestive heart failure positive inotropics|Positive Inotropics]] | [[Congestive heart failure anticoagulants|Anticoagulants]] | [[Congestive heart failure antiarrhythmic Drugs|Antiarrhythmic Drugs]] | [[Congestive heart failure other pharmacotherapies#Metformin|Metformin]] | [[Congestive heart failure other pharmacotherapies#Nutritional Supplements|Nutritional Supplements]] | [[Congestive heart failure other pharmacotherapies#Hormonal Therapies|Hormonal Therapies]] | : '''Chronic Pharmacotherapy:''' [[Congestive heart failure diuretics|Diuretics]] | [[Congestive heart failure ACE inhibitors|ACE Inhibitors]] | [[Congestive heart failure angiotensin receptor blockers|Angiotensin receptor blockers]] | [[Congestive heart failure aldosterone antagonists|Aldosterone Antagonists]] | [[Congestive heart failure beta blockers|Beta Blockers]] | [[Congestive heart failure calcium channel blockers|Ca Channel Blockers]] | [[Congestive heart failure vasodilators|Nitrates]] | [[Congestive heart failure vasodilators|Hydralazine]] | [[Congestive heart failure positive inotropics|Positive Inotropics]] | [[Congestive heart failure anticoagulants|Anticoagulants]] | [[Congestive heart failure antiarrhythmic Drugs|Antiarrhythmic Drugs]] | [[Congestive heart failure other pharmacotherapies#Metformin|Metformin]] | [[Congestive heart failure other pharmacotherapies#Nutritional Supplements|Nutritional Supplements]] | [[Congestive heart failure other pharmacotherapies#Hormonal Therapies|Hormonal Therapies]] | ||
====[[Congestive heart failure and exercise|Exercise Training]]==== | ==== [[Congestive heart failure and exercise|Exercise Training]] ==== | ||
====Surgical Therapy:==== | ==== Surgical Therapy: ==== | ||
==ACC/AHA Guideline Recommendations== | : [[Congestive heart failure biventricular pacing or cardiac resynchronization therapy|Biventricular Pacing or Cardiac Resynchronization Therapy (CRT)]] | [[Congestive heart failure implantation of intracardiac defibrillator|Implantation of Intracardiac Defibrillator]] | [[Congestive heart failure ultrafiltration|Ultrafiltration]] | [[Congestive heart failure left ventricular assist devices|Left Ventricular Assist Devices (LVADs)]] | [[Congestive heart failure cardiac transplantation|Cardiac Transplantation]] | [[Congestive heart failure cardiac surgery|Cardiac Surgery]] | ||
===[[Congestive heart failure AHA recommendations for hospitalized patient|Hospitalized Patients]]=== | |||
== ACC/AHA 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)|Stage A: Patients at High Risk for Developing Heart Failure]] === | |||
[[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Treatment of Hypertension|Treatment of Hypertension]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Treatment of Diabetes Mellitus|Treatment of Diabetes Mellitus]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Management of Metabolic Syndrome|Management of Metabolic Syndrome]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Management of Atherosclerotic Disease|Management of Atherosclerotic Disease]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Control of Conditions That May Cause Heart Failure|Control of Conditions That May Cause Heart Failure]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#ACC/AHA Guidelines- Treatment of Patients at High Risk for Developing Heart Failure (Stage A)|ACC/AHA Guideline Recommendations]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Treatment of Hypertension|Treatment of Hypertension]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Treatment of Diabetes Mellitus|Treatment of Diabetes Mellitus]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Management of Metabolic Syndrome|Management of Metabolic Syndrome]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Management of Atherosclerotic Disease|Management of Atherosclerotic Disease]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#Control of Conditions That May Cause Heart Failure|Control of Conditions That May Cause Heart Failure]] | [[Congestive heart failure treatment of patients at high risk for developing heart failure (Stage A)#ACC/AHA Guidelines- Treatment of Patients at High Risk for Developing Heart Failure (Stage A)|ACC/AHA Guideline Recommendations]] | ||
===[[Congestive heart failure treatment of patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)|Stage B: Patients with Cardiac Structural Abnormalities]]=== | === [[Congestive heart failure treatment of patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms (Stage B)|Stage B: Patients with Cardiac Structural Abnormalities]] === | ||
===[[Congestive heart failure treatment of patients with current or prior symptoms of heart failure (Stage C)|Stage C: Patients with Current or Prior Heart Failure Symptoms]]=== | === [[Congestive heart failure treatment of patients with current or prior symptoms of heart failure (Stage C)|Stage C: Patients with Current or Prior Heart Failure Symptoms]] === | ||
===[[Congestive heart failure treatment of patients with refractory end-stage heart failure (Stage D)|Stage D: Patients with Refractory End-stage Heart Failure]]=== | === [[Congestive heart failure treatment of patients with refractory end-stage heart failure (Stage D)|Stage D: Patients with Refractory End-stage Heart Failure]] === | ||
==[[Congestive heart failure implementation of practice guidelines|Implementation of Practice Guidelines]]== | == [[Congestive heart failure implementation of practice guidelines|Implementation of Practice Guidelines]] == | ||
==[[Congestive heart failure end-of-life considerations|End-Of-Life Considerations]]== | == [[Congestive heart failure end-of-life considerations|End-Of-Life Considerations]] == | ||
== 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 and obstructive sleep apnea|Obstructive Sleep Apnea in the Patient with CHF]] | [[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 and obstructive sleep apnea|Obstructive Sleep Apnea in the Patient with CHF]] | ||
==Guidelines Resources== | == Guidelines Resources == | ||
*[http:// | * [http://circ.ahajournals.org/content/112/12/e154.full.pdf The ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult] <ref name="pmid16160202">Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG et al. (2005) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=16160202 ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society.] ''Circulation'' 112 (12):e154-235. [http://dx.doi.org/10.1161/CIRCULATIONAHA.105.167586 DOI:10.1161/CIRCULATIONAHA.105.167586] PMID: [http://pubmed.gov/16160202 16160202]</ref> | ||
==References== | * [http://content.onlinejacc.org/cgi/reprint/53/15/1343.pdf 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation] <ref name="pmid19324967">Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=19324967 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation.] ''Circulation'' 119 (14):1977-2016. [http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192064 DOI:10.1161/CIRCULATIONAHA.109.192064] PMID: [http://pubmed.gov/19324967 19324967]</ref> | ||
== References == | |||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Revision as of 19:44, 4 October 2012
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 |
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Pathophysiology |
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Differentiating Congestive heart failure from other Diseases |
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Diagnosis |
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Treatment |
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Medical Therapy: |
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Surgical Therapy: |
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ACC/AHA Guideline Recommendations
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Specific Groups: |
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Congestive heart failure On the Web |
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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]; Lakshmi Gopalakrishnan, M.B.B.S. [3]; 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
Systolic dysfunction | Diastolic dysfunction
Causes
Differentiating Chronic Heart Failure from other Diseases
Epidemiology and Demographics
Risk Factors
Natural history, Complications and Prognosis
Diagnosis
Clinical Assessment | History & Symptoms | Physical Examination | Lab Tests | Electrocardiogram | Chest X Ray | Echocardiography | Cardiac MRI | Exercise Stress Test | Myocardial Viability Studies | Cardiac Catheterization | Endomyocardial biopsy
Treatment
Invasive Hemodynamic Monitoring
Medical Therapy:
- Acute Pharmacotherapy
- Chronic Pharmacotherapy: Diuretics | ACE Inhibitors | Angiotensin receptor blockers | Aldosterone Antagonists | Beta Blockers | Ca Channel Blockers | Nitrates | Hydralazine | Positive Inotropics | Anticoagulants | Antiarrhythmic Drugs | Metformin | Nutritional Supplements | Hormonal Therapies
Exercise Training
Surgical Therapy:
- Biventricular Pacing or Cardiac Resynchronization Therapy (CRT) | Implantation of Intracardiac Defibrillator | Ultrafiltration | Left Ventricular Assist Devices (LVADs) | Cardiac Transplantation | Cardiac Surgery
ACC/AHA Guideline Recommendations
Hospitalized Patients
Stage A: Patients at High Risk for Developing Heart Failure
Treatment of Hypertension | Treatment of Diabetes Mellitus | Management of Metabolic Syndrome | Management of Atherosclerotic Disease | Control of Conditions That May Cause Heart Failure | ACC/AHA Guideline Recommendations
Stage B: Patients with Cardiac Structural Abnormalities
Stage C: Patients with Current or Prior Heart Failure Symptoms
Stage D: Patients with Refractory End-stage Heart Failure
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
- The ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult [1]
- 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation [2]
References
- ↑ Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG et al. (2005) ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation 112 (12):e154-235. DOI:10.1161/CIRCULATIONAHA.105.167586 PMID: 16160202
- ↑ Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation 119 (14):1977-2016. DOI:10.1161/CIRCULATIONAHA.109.192064 PMID: 19324967