TY - JOUR
T1 - Back to Basics
T2 - Key Physical Examinations and Theories in Patients with Heart Failure
AU - Harada, Rakushumimarika
AU - Mantha, Yogamaya
AU - Hieda, Michinari
N1 - Funding Information:
Sources of Funding: Dr. Hieda was supported by the American Heart Association Strategically Focused Research Network (14SFRN20600009-03). Dr. Hieda was also supported by American Heart Association post-doctoral fellowship grant (18POST33960092) and the Harry S. Moss Heart Trust.
Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2020/4
Y1 - 2020/4
N2 - 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.
AB - 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.
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U2 - 10.1016/j.hfc.2019.12.001
DO - 10.1016/j.hfc.2019.12.001
M3 - Review article
C2 - 32143759
AN - SCOPUS:85080125079
SN - 1551-7136
VL - 16
SP - 139
EP - 151
JO - Heart Failure Clinics
JF - Heart Failure Clinics
IS - 2
ER -