we spent roughly 25 billion every year on acute heart failure hospitalizations alone. Things have improved tremendously over the last couple of decades with respect to mortality but heart failure is still the most common re-admission diagnosis within one month for patients over 65 years of age. The diagnosis of heart failure before the 1990’s was fairly grim with 60-70% of patients dying within five years of diagnosis. It can be due to a number of different causes including: myocardial infarction, arrhythmias, valvular dysfunction, pneumonia, uncontrolled hypertension, anemia, hyperthyroidism and many other causes. You have been doing more and more with ultrasound and wonder whether you can make the diagnosis of acute pulmonary edema before getting the standard CXR, ECG and lab tests.īackground: Acute heart failure is a condition where the heart cannot pump well enough to meet the demands of the body. He does not have any chest pain or fever. Alan Chiem is an assistant clinical professor and the director of ultrasound at UCLA Olive View.Ĭase: 78-year-old man with a history of diabetes, hypertension and coronary artery disease presents with a two day history of increasing shortness of breath.
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