Acute Heart Failure Profiling & Management — free guideline decision tool
This tool profiles acute heart failure by perfusion (warm/cold) and congestion (wet/dry) and directs diuresis, vasodilation, and inotrope use accordingly.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Peripheral perfusion | Well perfused (warm) |
|---|---|
| Congestion | Congested (wet: pulmonary crackles, edema, JVD) |
| Systolic BP (optional) | 100 mmHg |
→Clinical profileWarm-wet (good perfusion + congestion, most common)
- Targeted management：IV loop diuretic (furosemide) for decongestion; if BP allows (SBP > 110) add a vasodilator (nitroglycerin/nitroprusside) to reduce pre/afterload; hypertensive pulmonary edema centers on aggressive vasodilation/BP reduction
- General：Semi-recumbent; oxygen if SpO₂ < 90%, noninvasive ventilation for acute pulmonary edema/respiratory distress (RR > 25); continuous BP and ECG monitoring; morphine not routine
- Cause/precipitant：Rapidly identify and treat precipitants: acute coronary syndrome, tachy/bradyarrhythmias, infection, abrupt BP rise, non-adherence or drug discontinuation, worsening renal function, etc.
| Peripheral perfusion | Hypoperfused (cold: cool limbs, oliguria, confusion, narrow pulse pressure) |
|---|---|
| Congestion | Not congested (dry) |
| Systolic BP (optional) | 100 mmHg |
→Clinical profileCold-dry (hypoperfusion, no congestion)
- Targeted management：Carefully assess volume, a cautious fluid challenge if needed; inotrope for persistent hypoperfusion; avoid over-diuresis
- General：Semi-recumbent; oxygen if SpO₂ < 90%, noninvasive ventilation for acute pulmonary edema/respiratory distress (RR > 25); continuous BP and ECG monitoring; morphine not routine
- Cause/precipitant：Rapidly identify and treat precipitants: acute coronary syndrome, tachy/bradyarrhythmias, infection, abrupt BP rise, non-adherence or drug discontinuation, worsening renal function, etc.
Common questions
What is Acute Heart Failure Profiling & Management?
This tool profiles acute heart failure by perfusion (warm/cold) and congestion (wet/dry) and directs diuresis, vasodilation, and inotrope use accordingly.
How is Acute Heart Failure Profiling & Management calculated? What is the core formula?
Warm-wet → loop diuretic + vasodilator (if SBP > 110); cold-wet → inotrope (± vasopressor) then diuresis, especially if SBP < 90; warm-dry → optimize oral drugs; cold-dry → cautious volume management.
When is Acute Heart Failure Profiling & Management used?
Use at the bedside to assign one of four hemodynamic profiles and choose targeted therapy, with general oxygen/ventilation and precipitant correction.
What are the key clinical points for Acute Heart Failure Profiling & Management?
In hypoperfused patients, diuresis is deferred until adequate perfusion is restored, and vasodilators are avoided when SBP < 90. (original synthesis · not guideline verbatim) Warm-wet is the most common profile and responds to decongestion plus afterload reduction. Noninvasive ventilation is used for acute pulmonary edema/respiratory distress, and morphine is not routine.
What are the limits and cautions when using Acute Heart Failure Profiling & Management?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Acute Heart Failure Profiling & Management calculated in practice? Can you show a worked example?
Inputs: Peripheral perfusion Well perfused (warm), Congestion Congested (wet: pulmonary crackles, edema, JVD), Systolic BP (optional) 100 mmHg → Result: Clinical profile Warm-wet (good perfusion + congestion, most common)（Targeted management: IV loop diuretic (furosemide) for decongestion; if BP allows (SBP > 110) add a vasodilator (nitroglycerin/nitroprusside) to reduce pre/afterload; hypertensive pulmonary edema centers on aggressive vasodilation/BP reduction, General: Semi-recumbent; oxygen if SpO₂ < 90%, noninvasive ventilation for acute pulmonary edema/respiratory distress (RR > 25); continuous BP and ECG monitoring; morphine not routine, Cause/precipitant: Rapidly identify and treat precipitants: acute coronary syndrome, tachy/bradyarrhythmias, infection, abrupt BP rise, non-adherence or drug discontinuation, worsening renal function, etc.） Inputs: Peripheral perfusion Hypoperfused (cold: cool limbs, oliguria, confusion, narrow pulse pressure), Congestion Not congested (dry), Systolic BP (optional) 100 mmHg → Result: Clinical profile Cold-dry (hypoperfusion, no congestion)（Targeted management: Carefully assess volume, a cautious fluid challenge if needed; inotrope for persistent hypoperfusion; avoid over-diuresis, General: Semi-recumbent; oxygen if SpO₂ < 90%, noninvasive ventilation for acute pulmonary edema/respiratory distress (RR > 25); continuous BP and ECG monitoring; morphine not routine, Cause/precipitant: Rapidly identify and treat precipitants: acute coronary syndrome, tachy/bradyarrhythmias, infection, abrupt BP rise, non-adherence or drug discontinuation, worsening renal function, etc.）
Run Acute Heart Failure Profiling & Management now
This tool profiles acute heart failure by perfusion (warm/cold) and congestion (wet/dry) and directs diuresis, vasodilation, and inotrope use accordingly.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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