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Beyond the basics: right vs. left heart failure
William S Krost1, Joseph J Mistovich, Daniel Limmer
1St. Vincent/Medical University of Ohio/St. Rita's Critical Care Transport Network (Life Flight), Toledo, USA.
Abstract:
Heart failure is a pathophysiologic cascade that, if improperly identified and managed, may lead to death. If heart failure is identified early enough, development of irreversible end-stage heart failure may be avoided. The goal of the prehospital care provider in managing heart failure is directed at maintenance of adequate cellular oxygenation, reduction of preload and afterload to improve forward blood flow, and, ultimately, improve cardiac output.
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CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...