Collins Sean P, Storrow Alan B
Department of Emergency Medicine, University of Cincinnati School of Medicine, Cincinnati, OH 45267, USA.
Heart Fail Clin. 2009 Jan;5(1):75-83, vii. doi: 10.1016/j.hfc.2008.08.010.
The emergency department evaluation and management of patients who have potential acute heart failure syndromes (AHFS) has remained a significant challenge for decades. The emergency physician's diagnostic tools for heart failure have remained limited, and the complexity of the syndrome itself has led to risk-averse practice styles with extremely high admission rates. Recently, new diagnostic markers and technology have become promising and even commonplace to assist emergency physicians in risk prediction for patients who have AHFS. Familiarity with these approaches is essential for improved care for patients who have heart failure and for resource use. This article reviews the available literature and describes patient features that need to be accounted for in disposition decision-making.
几十年来，急诊科对潜在急性心力衰竭综合征（AHFS）患者的评估和管理一直是一项重大挑战。急诊科医生用于心力衰竭的诊断工具仍然有限，而且该综合征本身的复杂性导致了规避风险的诊疗方式，住院率极高。最近，新的诊断标志物和技术已变得很有前景，甚至很常见，有助于急诊科医生对AHFS患者进行风险预测。熟悉这些方法对于改善心力衰竭患者的护理和资源利用至关重要。本文回顾了现有文献，并描述了在处置决策中需要考虑的患者特征。
