What is the recommended initial treatment for a patient in atrial fibrillation with rapid ventricular response who has signs of decompensated heart failure?

What is the recommended initial treatment for a patient in atrial fibrillation with rapid ventricular response who has signs of decompensated heart failure?

Initial Assessment Many patients who present with ADHF will have implantable cardioverter defibrillators (ICDs) in place.

What does decompensated mean in heart failure?

Decompensated heart failure (DHF) is defined as a clinical syndrome in which a structural or functional change in the heart leads to its inability to eject and/or accommodate blood within physiological pressure levels, thus causing a functional limitation and requiring immediate therapeutic intervention(1).

What is mild acute decompensated heart failure?

Acute decompensated heart failure (ADHF) is a syndrome defined by worsening fatigue, dyspnea, or edema that results from deteriorating heart function and usually leads to hospital admission or unscheduled medical intervention. It is not a homogenous syndrome, but has many faces and varying presentations.

How do you know when a heart failure patient is Decompensating?

Decompensated HF is characterised by an increase in symptoms such as breathlessness, fatigue, and fluid retention. It remains a lethal diagnosis with morbidity and mortality rates that often exceed neoplastic or infectious diseases.

What is the treatment for ADHF?

Intravenous loop diuretics are the primary therapy in most patients admitted with ADHF and as noted above, improve symptoms predominantly by decreasing venous congestion and volume overload.

What does decompensation mean in medical terms?

: loss of physiological or psychological compensation especially : inability of the heart to maintain adequate circulation.

Which cause of fatigue is associated with heart failure?

Exercise intolerance and fatigue are often the most common symptoms of heart failure. This tiredness or fatigue occurs because less blood reaches the muscles and tissues, due to the reducing pumping ability of the heart.

Is compensated heart failure acute or chronic?

Chronic heart failure can be “compensated” or “decompensated.” In compensated heart failure, symptoms are stable, and many overt features of fluid retention and pulmonary oedema are absent.

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