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Acute heart failure exacerbation disposition

Not all patients require admission

 

Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

 

Elevated troponin and serum Cr associated with worse outcomes

 

Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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