RT Book, Section
A1 King, Michael
A1 Rodriguez, Angelina
A1 Tarasenko, Yelena
A1 Simon, Tiffany
A1 Davis, Billy R.
A2 South-Paul, Jeannette E.
A2 Matheny, Samuel C.
A2 Lewis, Evelyn L.
SR Print(0)
ID 1173714317
T1 Heart Failure
T2 CURRENT Diagnosis & Treatment: Family Medicine, 5e
YR 2020
FD 2020
PB McGraw Hill
PP New York, NY
SN 9781260134896
LK accessmedicine.mhmedical.com/content.aspx?aid=1173714317
RD 2022/05/26
AB ESSENTIALS  OF  DIAGNOSISLeft  ventricular  dysfunction  by  echocardiography.Dyspnea  on  exertion  and  fatigue  are  common,  but  paroxysmal  nocturnal  dyspnea,  orthopnea,  and  peripheral  edema  are  more  diagnostic.Unintentional  weight  loss,  intractable  volume  overload,  and  signs  of  inadequate  perfusion  (eg,  hypotension  and  narrowed  pulse  pressure)  may  represent  advanced  heart  failure.Third  (S3)  heart  sound,  displaced  cardiac  apex,  jugular  venous  distension,  hepatojugular  reflux,  rales,  murmur.Any  electrocardiographic  (ECG)  abnormality,  radiographic  evidence  of  pulmonary  venous  congestion,  cardiomegaly,  or  pleural  effusion.Elevated  B-type  natriuretic  peptide  (BNP)  or  N-terminal  pro-BNP  levels.