Chapter 19. Acute Decompensated Heart Failure

  1. Brian H. Rowe MD, MSc, CCFP(EM), FCCP Professor Research Director
  1. Brett Jones MD, PhD Staff Physician1 and
  2. Sean P. Collins MD, MSc Assistant Professor2

Published Online: 27 FEB 2009

DOI: 10.1002/9781444303674.ch19

Evidence-Based Emergency Medicine

Evidence-Based Emergency Medicine

How to Cite

Jones, B. and Collins, S. P. (2008) Acute Decompensated Heart Failure, in Evidence-Based Emergency Medicine (ed B. H. Rowe), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303674.ch19

Editor Information

  1. Department of Emergency Medicine, University of Alberta, Edmonton, Alberta, Canada

Author Information

  1. 1

    Ya vapai Medical Center, Prescott, AZ, USA

  2. 2

    Department of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio, USA

Publication History

  1. Published Online: 27 FEB 2009
  2. Published Print: 31 OCT 2008

ISBN Information

Print ISBN: 9781405161435

Online ISBN: 9781444303674



  • acute decompensated heart failure (ADHF);
  • B-type natriuretic peptide (BNP);
  • systematic review of BNP use in dyspneic patients with possible acute heart failure;
  • nitroglycerin - cornerstone of therapy in ADHF;
  • BiPAP ( bi-level positive airway pressure);
  • continuous positive airway pressure (CPAP);
  • evaluating nesiritide administration in acute decompensated heart failure;
  • growth of observation unit (OU) medicine under direction of emergency physicians


This chapter contains sections titled:

  • Case scenario

  • Background

  • Clinical questions

  • General search strategy

  • Critical review of the literature

  • Conclusions

  • References