急性失代偿性心力衰竭
医学
重症监护医学
心力衰竭
心力衰竭的处理
心脏病学
梅德林
血压
内科学
诊断试验
疾病管理
作者
Michael Gottlieb,Fernanda Bellolio,Brit Long,Alan B. Storrow
出处
期刊:
日期:2025-11-05
卷期号:391: e084242-e084242
标识
DOI:10.1136/bmj-2025-084242
摘要
Heart failure is a common condition that affects millions of people worldwide and is associated with substantial morbidity and mortality. Acute decompensated heart failure refers to the worsening of symptoms that requires changes in drugs or the start of new treatments such as non-invasive positive pressure ventilation. This review summarizes the current data and provides an evidence based approach to the diagnosis and management of acute decompensated heart failure. The review discusses common nomenclature and classifications of the condition, followed by the diagnostic accuracy of medical history, physical examination, electrocardiography, radiographs of the chest, point-of-care ultrasound, and laboratory testing. Current and emerging medical treatments are also discussed.
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