What does this research mean for the field?

Bedside lung ultrasound and echocardiography are the most useful diagnostic tests for confirming acute heart failure in emergency department patients, while natriuretic peptides are highly effective for excluding the diagnosis. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

December 21, 2015Academic Emergency MedicineOpen Access

Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta‐analysis

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Why the study?

What are the operating characteristics of various diagnostic tests for diagnosing acute heart failure in adult emergency department patients with dyspnea?

Population

Adult patients in the emergency department with undifferentiated dyspnea

Comparison

Diagnostic tests including history and physical… vs Criterion standard diagnosis of acute heart…

Design

Meta-analysis

Authors

JMJennifer L. MartindaleIcahn School of Medicine at Mount Sinai AWAbel WakaiRoyal College of Surgeons in Ireland SCSean P. CollinsRutgers, The State University of New Jersey

Discussion

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Implication

Lung US affirms and BNP excludes AHF in ED dyspnea; confirms complementary roles of bedside imaging and natriuretic peptides.

Structured PICO

What are the operating characteristics of various diagnostic tests for diagnosing acute heart failure in adult emergency department patients with dyspnea?

Population

Adult patients in the emergency department with undifferentiated dyspnea

Intervention

Diagnostic tests including history and physical examination, electrocardiogram, chest radiograph (CXR), B-type natriuretic peptide (BNP), N-terminal proB-type natriuretic peptide (NT-proBNP), lung ultrasound (US), bedside echocardiography, and bioimpedance

Comparator

Criterion standard diagnosis of acute heart failure based on clinical data combined with objective test results

Outcome

Operating characteristics (likelihood ratios) of diagnostic elements to predict acute heart failure as a cause of dyspnea

Bedside lung ultrasound and echocardiography are highly useful for confirming acute heart failure, whereas natriuretic peptides are valuable for excluding the diagnosis in emergency department patients with dyspnea.

Cite This Study

Martindale et al. (2015) studied this question.

synapsesocial.com/papers/6a1e789f8a8a69122355e9fd https://doi.org/10.1111/acem.12878

Topics

Heart failure HFrEF treatment Echocardiography Heart failure hospitalization HFpEF management

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Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta‐analysis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta‐analysis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

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Topics

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