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# Acute Decompensated Heart Failure ## Risk Factors & Classification - ADHF - 80%: Prior heart failure (HFrEF/HFPEF; NYHA 1/2) - 20%: De-novo heart failure ## Risk Factors 1. Patient-related factors 2. Infections (LRTI, IE) 3. Anemia 4. Drugs (NSAIDs) 5. MI 6. Atrial fibrillation 7. Uncont...

# Acute Decompensated Heart Failure ## Risk Factors & Classification - ADHF - 80%: Prior heart failure (HFrEF/HFPEF; NYHA 1/2) - 20%: De-novo heart failure ## Risk Factors 1. Patient-related factors 2. Infections (LRTI, IE) 3. Anemia 4. Drugs (NSAIDs) 5. MI 6. Atrial fibrillation 7. Uncontrolled HTN 8. Pregnancy ## Classification of ADHF 1. Mild to moderate ADHF 2. Hypertensive ADHF 3. ADHF with acute pulmonary edema 4. Cardiogenic shock ## Mild to Moderate ADHF - Most common (70% of ADHF) - Presents with underlying HFrEF - Precipitated by LRTI ## Clinical Features: - Progressive dyspnea - Right-sided congestive symptoms - Tender, enlarged liver - Edema - No evidence of pulmonary edema/cardiogenic shock - 0/E - S3 heartsound - Cardiomegaly - MR (Possible d/t annular dilatation)