TY - CHAP M1 - Book, Section TI - Acute Heart Failure A1 - Whelan, Lori A2 - Cydulka, Rita K. A2 - Fitch, Michael T. A2 - Joing, Scott A. A2 - Wang, Vincent J. A2 - Cline, David M. A2 - Ma, O. John PY - 2017 T2 - Tintinalli's Emergency Medicine Manual, 8e AB - Acute heart failure covers a wide spectrum of illness, with symptoms ranging from a gradual increase in leg swelling, shortness of breath, or decreased exercise tolerance to the abrupt onset of pulmonary edema and respiratory distress. While the term congestive heart failure was historically used to describe volume overload, current terminology describes patients as having acute heart failure when they present with an acute exacerbation of chronic heart failure or when new-onset heart failure is diagnosed. Heart failure has a poor prognosis with an approximately 50% mortality rate within 5 years of initial diagnosis. The most common precipitating factors of acute heart failure are atrial fibrillation, acute myocardial infarction or ischemia, discontinuation of medications (diuretics), increased sodium load, drugs that impair myocardial function, and physical overexertion. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1143139979 ER -