Back to Basics: Key Physical Examinations and Theories in Patients with Heart Failure

Rakushumimarika Harada, Yogamaya Mantha, Michinari Hieda

Research output: Contribution to journalReview articlepeer-review

Abstract

Heart failure (HF) is a leading cause of hospitalization. Suitable pharmacologic management is critical. Distinct physical findings such as congestion and peripheral hypoperfusion need to be considered in selecting pharmacologic therapy. By applying the pretest probability and likelihood ratios of unique physical findings of HF to a Markov model, a definite posttest probability can be obtained. This article focuses on the findings of S3, jugular venous pressure, proportional pulse pressure, bendopnea, trepopnea, and various heart murmurs. Incorporating statistical precision in physical assessments, diagnoses of HF can be further refined, providing a sophisticated approach to evaluate patients hemodynamics status noninvasively.

Original languageEnglish
Pages (from-to)139-151
Number of pages13
JournalHeart Failure Clinics
Volume16
Issue number2
DOIs
Publication statusPublished - Apr 2020
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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