Category Archives: Acute Dyspnea : Part 2

Clinical Diagnosis of Congestive Heart Failure in Patients with Acute Dyspnea: Methods (Part 3)

Clinical Diagnosis of Congestive Heart Failure in Patients with Acute Dyspnea: Methods (Part 3)The diagnosis of congestive heart failure was then made by the application of a clinicoradiographic score (Table 1) which has been previously validated,10 “ which was modified for use in this study by removing “wheezing” from the physical examination criteria. This modification was made to reflect the nature of the population l)eing studied, where a high prevalence of patients with asthma or chronic lung disease might be expected to lead to an overdiagnosis of congestive heart failure if this criterion were retained. For this study, the diagnosis of congestive heart failure required a score of 8 or more, classified as “definite” congestive heart failure by the authors of these criteria. Continue reading

Clinical Diagnosis of Congestive Heart Failure in Patients with Acute Dyspnea: Methods (Part 2)

A normal (sine wave) response was characterized by the disappearance of sounds during the sustained maneuver, with reappearance after release of the maneuver. Abnormal responses included both a lack of reappearance of Korotkoff sounds after release of the maneuver (absent overshoot), or maintenance of beats throughout the maneuver (square wave). Continue reading

Clinical Diagnosis of Congestive Heart Failure in Patients with Acute Dyspnea: Methods (Part 1)

For inclusion in this study, patients had to meet the following criteria: the chief complaint of shortness of breath; age ^40 years; English speaking; entered the emergency room during study hours; and gave informed consent to participate. Buy Asthma Inhalers Online
Once patients agreed to participate in this investigation, a standardized history was obtained by a research assistant. A physical examination was then performed by a single physician (PR\1) blinded to the history and to the treatment of the emergency room staff. Continue reading

Clinical Diagnosis of Congestive Heart Failure in Patients with Acute Dyspnea

Clinical Diagnosis of Congestive Heart Failure in Patients with Acute DyspneaIn patients with acute shortness of breath, the diagnosis of the cause is often difficult, particularly the differentiation between cardiac and pulmonary disease. Previous investigators have shown a high degree of diagnostic uncertainty in patients hospitalized for dyspnea; others have shown that the medical history is often of paramount importance in determining the diagnosis. Continue reading

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