Causes

• !ADHF - Acute Decompensated HF (Cold and wet) – inadequate circulation to maintain adequate organ function
  • Acute presentation: 80% mortality rate
• Tachy- !Arrhythmia

Presentation

• Characterized by:
  • Hypotension ↓(<90/60)
    • sBP < 90
  • Pulmonary Edema
  • !Shock (Hypo-perfusion) → !AKI - Acute Kidney Injury
    • Reduced urine output
    • Increased sCR level
• Diagnosis:
  • low CO
  • high filling pressure (preload)

Treatment

Diuretics:

• reduce congestion (pulmonary edema)
  • Loop Diuretics (-ide) - IV Furosemide (Lasik®)

Positive Inotrope:

• Wet and cold: ↑ contractility, ↓ AL and PL (vasodilation)
  • Milrinone (PDE3i)
  • Dobutamine