---
tags: tier1, OME, PGY1
---
# Congestive Heart Failure

## Outpatient
Ischemic or non-ischemic?
- Nuclear Stress or LHC

Systolic or Diastolic?
- EF < 40% HFrEF = Systolic CHF
- EF > 55% HFpEF = Diastolic CHF

## CHF Exacerbation
> ICD10: Acute Decompensated Heart Failure

### Management


### Resources
:page_facing_up: [A/P dotphrase](https://www.dotphrase.org/dp/heart-failure-hfpef-exacerbation/)
:::spoiler

# Heart Failure (HFpEF), Acute on Chronic Diastolic Heart Failure Exacerbation
Patient presents with symptoms and evidence of volume overload. Trigger likely ***. Last TTE ***.
- Admission weight ***, dry weight ***.
- Goal net negative: ***
- CBC, CMP, BNP, Lactate
- BMP, Mg BID
- Strict I/O, daily standing weights, 2L fluid restriction, Na-resticted diet
- Inpt med regimen: ***
- Home med regimen: ***

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