TY  - CHAP
M1  - Book, Section
TI  - Palliative Care in Heart Failure
A1  - Hritz, Christopher M.
A1  - Barrett, Todd A.
A1  - Gustin, Jillian L.
A2  - Baliga, R. R.
A2  - Abraham, William T.
PY  - 2018
T2  - Color Atlas and Synopsis of Heart Failure
AB  - Bob  Hart  is  a  56-year-old  divorced  man  with  a  history  of  acute  on  chronic  systolic  heart  failure  (HF)  secondary  to  nonischemic  cardiomyopathy,  type  2  diabetes,  and  obesity.  He  was  admitted  to  the  cardiac  service  with  multiple  HF-related  symptoms  including  shortness  of  breath,  cough,  weight  gain,  lightheadedness,  generalized  weakness,  and  fatigue.  His  HF  was  first  diagnosed  9  years  ago  and  a  recent  echo  revealed  a  left  ventricular  ejection  fraction  (EF)  of  <20%.  Bob  underwent  right  heart  catheterization  and  was  found  to  have  a  low  cardiac  index.  During  the  admission  his  condition  worsened,  which  prompted  the  team  to  start  a  dobutamine  infusion  and  begin  workup  for  possible  advanced  HF  therapies.  In  addition  to  HF  symptoms,  Bob  suffers  from  bilateral  leg  pain  secondary  to  diabetic  neuropathy.  Psychosocially,  he  is  currently  undergoing  a  divorce  and  lives  alone,  but  he  has  an  adult  daughter  who  is  very  involved  in  his  care.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1161019183
ER  -