Your Path

  • CHF


  • HFpEF: related to hypertension, obesity, copd, dm, older age, anemia, a fib
  • HFrEF: related to cad w/MI, valvular heart disease, idiopathic, tox/metabolic d/o, htn, autoimmune, tachycardia, other

Risk Factors

  • Known vasc dz
  • Dm
  • Htn
  • Smoking
  • Hyperlipidemia


  • Orthopnea
  • PND
  • Sob
  • Doe

Physical Exam Findings

  • + S3
  • Elevated jvp
  • Displaced pmi
  • Findings will vary somewhat based on etiology (e.g. valvular heart dz, HefPef v HefRef, etc.)
  • Lower extremity edema
  • Rales on lung exam
  • Decreased breath sounds from pleural effusion (R>L)