TY - CHAP M1 - Book, Section TI - Assessment of Volume Overload in Acute Decompensated Heart Failure A1 - Gaber, Heba R. A1 - Almasary, Abeer A1 - Peacock, W. Frank A2 - Baliga, R. R. A2 - Abraham, William T. PY - 2018 T2 - Color Atlas and Synopsis of Heart Failure AB - A 74-year-old man had been in his usual health and able to perform activities of daily living (including walking 1 block) until about 3 weeks ago, when he started to suffer shortness of breath that impaired his daily activity. He also found the need to sleep on 3 pillows. When asked, he complained of cough, but denied fever, and reported that his legs had become swollen. The patient’s past medical history included hypertension (HTN), atrial fibrillation, chronic obstructive pulmonary disease, and ischemic heart disease (IHD). His medications were nifedipine, warfarin, amiodarone, and aspirin. Physical examination found an afebrile patient with an irregular heart rate (HR) at 110 beats per minute (Figure 19-1). His respiratory rate (RR) was 26 breaths per minute, blood pressure (BP) 160/92 mm Hg, and the oxygen saturation by pulse oximetry (SpO2) was 92% on room air. His neck examination revealed jugular venous distention (Figure 19-2), he had an S3 and rales on auscultation, as well as an enlarged liver and 3+ pretibial edema (Figure 19-3). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesscardiology.mhmedical.com/content.aspx?aid=1161017395 ER -