Congestive Heart Failure Mortality Risk Assessment Medical Algorithm

Evaluation

Does the patient have severe heart failure?

Yes

Does the patient have ischemic cardiomyopathy?

Yes

Resting heart rate

beats per minute

Left ventricular ejection fraction in percent (enter from 0 to 100)

percent

Systolic blood pressure

mm Hg

Diastolic blood pressure

mm Hg

Does the patient have an intraventricular conduction defect?

Yes

Peak oxygen consumption

mL O2 per kg per min

Serum sodium

Is the mean pulmonary capillary wedge pressure known?

Yes

Mean pulmonary capillary wedge pressure

mm Hg

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Mean arterial blood pressure

HFSS using noninvasive model

HFSS using invasive model

Risk of 1 year mortality based on noninvasive HFSS

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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
- Prognostic Factors for Ambulatory Patient w/ Chronic Congestive Heart Failure

Specialty

Cardiology
Surgery, general

Objective

risk factors
severity
prognosis
stage
complications
selection

ICD-10

Z94.1 - Heart transplant status
I50 - Heart failure

Heart Failure Survival Score (HFSS) to Evaluate Patients for Cardiac Transplantation

Purpose: To use the Heart Failure Survival Score (HFSS) to predict 1 year mortality risk in a patient with severe congestive heart failure.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10