Acute heart failure without shock

Hemodynamics

• SBP> 90 mmHg or MAP> 60 mmHg (SBP 2/3 + 1/3 DBP).
• HR 80-100 bpm.

Symptoms

• Dyspnea IV.
• Orthopnea.
• Tired.
• Nocturnal dyspnea.
• Anorexia.
• Weight gain.

Signs

• Peripheral oedema.
• Tachycardia.
• B3.
• Turgor jugular.
• Pleural effusion.
• Stasis Rails.

Monitoring

• BP, T°, Sp O2
• HR, RF

Examinations to achieve once initiated treatment.

• ECG
• Chest X-ray
• Echocardiography.
• Labo (FSS, Na, K, BNP, urea, creatinine, AST, ALT, GGT, troponin, glucose) BNP is usually> 400pg / ml in patients with heart failure. If <100 pg / mL, consider an alternative diagnosis - Non-invasive test for ischemia, coronary angiography).
• Search for arrhythmia (ECG, Holter, ET)
• Search for alcohol or drugs.
• Drug review (chemotherapy, antidepressants, phenothiazines, anti TNF).
• Balance infectious (VIH, Borreliose, Cocksakie, Chagas, jellyfish, snakes, scorpions).

Treatment