Prognostic Factors for Ambulatory Patient w/ Chronic Congestive Heart Failure

Purpose: To evaluate an ambulatory patient with chronic congestive heart failure for factors affecting survival based on the study of Mahon et al.

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Evaluation

Are you evaluating an ambulatory patient with chronic congestive heart failure?

Yes

Left ventricular ejection fraction (enter from 0 to 100)

percent

Creatinine clearance (using the Cockcroft-Gault equation)

mL per minute

Has the patient had recent hospitalization for worsening congestive heart failure?

Yes

Does the patient require diuretic therapy?

Yes

6 minute walk distance

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors affecting mortality

Predicted 4-year survival

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- High-Output Heart Failure Associated with Arteriovenous Fistula, Hemangioma or Other Vascular Malformation
- Criteria for Distinguishing Acute Heart Failure from COPD or Asthma in Dyspneic Patient
Failure Handling, When To Refer
- Indications for Referral of Patient with Heart Failure to Cardiologist
- Recommended Triage Times for Patient with Heart Failure

Therapy

Options
- Treatment Outcome - B-Type Natriuretic Peptide - (BNP) and Severe Congestive Heart Failure (CHF)
Selection
Failure Handling And Therapy Escalation
Prevention
- Predicting Risk of Heart Failure in Framingham Study
- Two Minute Assessment of Hemodynamic Profile for Patient with Possible Heart Failure

Monitoring

Response To Therapy
Drug Levels
- Boston Criteria for Diagnosis Congestive Heart Failure
Complication Detection
Comorbid Conditions

Patient Concerns

Disability And Performance
- Cognitive Dysfunction in Heart Failure
Quality Of Life
- Cognitive Dysfunction in Heart Failure
- Discharge Criteria for Patient Hospitalized for Heart Failure
End-of-life, Palliative Care
- Criteria for Inotrope Dependence | Refractory End-Stage Heart Failure

Specialty

Cardiology

Objective

severity
prognosis
stage
response to therapy
end-of-life
palliative care

ICD-10

I50 - Heart failure

Info

Purpose: To evaluate an ambulatory patient with chronic congestive heart failure for factors affecting survival based on the study of Mahon et al.

Specialty: Cardiology

Objective: severity, prognosis, stage, response to therapy, end-of-life, palliative care

ICD-10: I50,

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