Acute heart failure

Heart failure is a syndrome in which the heart cannot meet the body's circulatory demands under physiological conditions.

  • Acute heart failure is defined as a rapid onset of a new, or worsening signs and symptoms of HF.
  • In most cases, due to LV dysfunction.
  • Most commonly, AHF occurs as an exacerbation of an existing chronic heart failure (acute decompensated heart failure); typically, due to an MI, excessive salt intake, sudden discontinuation of medications, or tachyarrhythmias.
  • AHF can lead to congestion and hypoperfusion, with the following:
    • Peripheral edema and dilated veins
    • Pulmonary hypertension, presenting as severe dyspnea and orthopnea, and coughing up of pink sputum

Etiology

  • Acute MI and ischemia
  • Acute and severe

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