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Acute decompensated heart failure: Difference between revisions
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(Created page with "'''Acute decompensated heart failure''' (ADHF), also called '''acute-on-chronic heart failure''', '''heart failure exacerbation''' or simply '''acute heart failure''', refers to the heart failure which develops or worsens acutely. They may occur in a patient with chronic heart failure who has decompensated for any reason, or it may occur de novo (without preexisting chronic heart failure, rare). It's a severe condition, usually requiring hospitalisation. Many conditi...") |
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=== "Cold and wet" patients/cardiogenic shock === | === "Cold and wet" patients/cardiogenic shock === | ||
These patients require intensive care. Careful IV hydration is indicated. Vasopressor or inotropic may be necessary, as may be mechanical circulatory support. | These patients require intensive care. Careful IV hydration is indicated. Vasopressor or inotropic may be necessary, as may be mechanical circulatory support. | ||
=== Morphine === | |||
[[Morphine]] has a long history of being used for cardiogenic pulmonary oedema. The theory is that it reduces preload and anxiety. However, more and more studies have shown an increase in adverse events when using morphine for this indication. Neither the European Society of Cardiology (ESC) nor the National Institute for Health and Care (NICE) recommend the use of morphine. Despite this, it is widely used. | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||