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Monday, July 30, 2018

Heart Failure (Myths Part I)

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emDocs - July 23, 2018 - Author: Long B / Edited by: Koyfman A
"Key Points
  • A variety of misconceptions are present concerning the ED evaluation and management of AHF.
  • BNP should only be used in conjunction with clinical gestalt and cannot be used in isolation on a reliable basis.
  • There are many other conditions that can elevate BNP, and obesity can actually decrease BNP.
  • Renal function, including Cr and BUN, are important assessments in the patient with AHF exacerbation. Elevation in these tests are associated with poor outcome.
  • Though chest x-ray is considered the go-to imaging test, ultrasound is better for evaluating for the presence of pulmonary edema."