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Updated: May 21, 2026

Clinical Application of Phase Angle and BIVA Z-Score Analyses in Patients Admitted to an Emergency Department with Acute Heart Failure
Published on: June 30, 2023
[Acute heart failure]
1Klinik für Innere Medizin, St. Antonius Hospital, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland. uwe.janssens@sah-eschweiler.de
Insights
Acute decompensated heart failure (ADHF) is a growing global health issue. Effective management involves symptom relief, hemodynamic stabilization, and utilizing core therapies like oxygen, ventilation, and medications to improve survival.
Area of Science:
- Cardiology
- Internal Medicine
- Public Health
Context:
- Acute decompensated heart failure (ADHF) represents a significant and escalating global health concern.
- Over 50% of ADHF patients have co-existing coronary artery disease, often linked to hypertension.
- A notable proportion of ADHF cases present with preserved left ventricular systolic function.
Purpose:
- To outline the diagnostic challenges and essential clinical assessment for ADHF.
- To define immediate therapeutic objectives, including symptom improvement and hemodynamic stabilization.
- To emphasize strategies for enhancing both short- and long-term patient survival.
Summary:
- Diagnosis of ADHF can be complex, necessitating thorough clinical evaluation and patient profiling.
- Key therapeutic goals include immediate symptom management, oxygenation support, and hemodynamic stabilization.
- Standard treatments encompass oxygen, noninvasive ventilation, analgesia, diuretics, vasodilators, and inotropes/vasopressors.
Impact:
- Highlights the critical need for timely and accurate ADHF diagnosis and management.
- Underscores the importance of a multi-faceted therapeutic approach for improved patient outcomes.
- Emphasizes the role of established pharmacological and supportive measures in managing ADHF.
Abstract:
Acute decompensated heart failure (ADHF) is a major public health problem throughout the world and its importance is continuing to grow. More than 50% of ADHF patients have coronary artery disease, which is generally associated with a history of hypertension. Recent data suggest that half of the patients presenting with acute heart failure have preserved left ventricular systolic function. The diagnosis of ADHF may be difficult at times, and the clinical assessment and patient profiling is essential for appropriate therapy. Immediate therapeutic goals are not only to improve symptoms, restore oxygenation and stabilize hemodynamic conditions, but also to improve short- and long-term survival. In addition to general supportive measures such as oxygen supplementation, noninvasive ventilation, analgesia, diuretics, vasodilators together with inotropic agents and/or vasopressors remain the cornerstone of therapy in patients with ADHF.
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