Chief Complaint: Dyspnea
a. History: Fatigue
b. Physical Exam: Edema, Leg
Differential Diagnosis
Heart Failure,
Pivotal Assessment | Findings | ||
---|---|---|---|
Echocardiogram* | LVEF equal or less than 50% |
*If the LVEF cannot be adequately assessed by echocardiogram despite use of microbubble contrast agent, alternative methods for assessment include nuclear methods (radionuclide ventriculography or single-photon emission computed tomography myocardial perfusion imaging, cardiovascular magnetic resonance imaging, and cardiac computed tomography.
Alternate LVEF Assessment | Findings |
---|---|
Nuclear methods: (radionuclide ventriculography or single-photon emission computed tomography myocardial perfusion imaging, cardiovascular magnetic resonance imaging, and cardiac computed tomography. | |
Nuclear Method: single-photon emission computed tomography myocardial perfusion imaging, | |
Cardiovascular magnetic resonance imaging, . | |
Cardiac computed tomography |