Assignment: Heart Failure
Assignment: Heart Failure
identify the appropriate laboratory, imaging, and other diagnostic and screening tools that apply.
Explain why you selected these tests or tools as being appropriate to the scenario.
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Heart Failure
[elementor-template id="165244"]The diagnosis of heart failure (HF) is guided by various lab and imaging tests and diagnostic screening tools. Lab tests include B-type natriuretic peptide (BNP), which is used to diagnose HF, particularly, diastolic HF in patients with acute dyspnea. BNP is part of the body’s response to decreased cardiac output from either left or right ventricular dysfunction. Thus, an increase in BNP, in addition to history and physical findings, best differentiates between the dyspnea of HF and lung dysfunction (Verhestraeten et al., 2020). BNP is an independent predictor of increased left ventricular end-diastolic pressure, and it is used for assessing mortality risk in patients with heart failure
Imaging tests include chest X-rays, which help diagnose left ventricular failure. Typically the heart is enlarged representing hypertrophy or dilation. Echocardiography is considered the best imaging test to diagnose HF. Cardiac valvular changes, pericardial effusion, chamber enlargement, and ventricular hypertrophy can be diagnosed using this noninvasive test (Taylor et al., 2018). The test is also used to determine ejection fraction. In addition, an electrocardiogram (ECG) can reveal ventricular hypertrophy, dysrhythmias, and any degree of myocardial ischemia, injury, or infarction. However, it does not help establish the presence or extent of HF.
Invasive hemodynamic monitoring enables the direct assessment of cardiac function and volume status in acutely ill patients. These measurements help to confirm the diagnosis and guide the management of HF. Other tests used in assessing patients with HF include cardiac catheterization and stress testing. However, they are used in patients with HF to determine the underlying cause of the disease (Verhestraeten et al., 2020). Computed tomography (CT) and magnetic resonance imaging (MRI) in patients with HF are used primarily for the diagnosis of congenital cardiac abnormalities.
References
Taylor, C. J., Rutten, F. H., Brouwer, J. R., & Hobbs, F. R. (2018). Practical guidance on heart failure diagnosis and management in primary care: recent EPCCS recommendations. The British journal of general practice : the journal of the Royal College of General Practitioners, 67(660), 326–327. https://doi.org/10.3399/bjgp17X691553
Verhestraeten, C., Weijers, G., Debleu, D., Ciarka, A., Goethals, M., Droogmans, S., & Maris, M. (2020). Diagnosis, treatment, and follow-up of heart failure patients by general practitioners: A Delphi consensus statement. PloS one, 15(12), e0244485. https://doi.org/10.1371/journal.pone.0244485
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