症例 challenge · Cardiology / Emergency · teaching

Acute Heart Failure — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on 2021 ESC HF / 2023 update

Case #1Cardiology / Emergency

📋 Case data

Bedside phenotypeCold-wet (hypoperfusion + congestion)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Bedside phenotype

Which phenotype — perfusion (warm/cold) × congestion (wet/dry)?

💡 Initial: oxygen (SpO2 <90% or respiratory distress → oxygen / NIV), monitoring, find the trigger CHAMPIT (ACS, hypertensive emergency, arrhythmia, mechanical complication, PE, infection, tamponade). Congestion (wet) = pulmonary/systemic congestion; hypoperfusion (cold) = cool extremities, mottling, oliguria, altered mentation, narrow pulse pressure.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.