A 75-year-old woman with multiple comorbidities presented with worsening dyspnea and an NT-proBNP level of 5500 pg/mL, raising the question of acutely decompensated heart failure.
Case Report (n=1)
woman with a history of morbid obesity, coronary artery disease, chronic obstructive pulmonary disease, and chronic kidney disease (serum creatinine 2.0 mg/dL) presented to the emergency department with worsening dyspnea. Her ECG shows no acute ischemic changes; her chest radiograph reveals chronic emphysematous changes with mild bilateral infiltrates. Her lung examination is notable for diffuse wheezing, and she has chronic lower extremity edema. Her aminoterminal pro-B-type natriuretic peptide (NT-proBNP) level is 5500 pg/mL (upper limit of normal is 1800 pg/mL for age 75 years). Does this patient have acutely decompensated heart failure (ADHF)?
Kim et al. (Mon,) conducted a case report in Worsening dyspnea / suspected acutely decompensated heart failure (n=1). NT-proBNP testing was evaluated on Acutely decompensated heart failure (ADHF) diagnosis. A 75-year-old woman with multiple comorbidities presented with worsening dyspnea and an NT-proBNP level of 5500 pg/mL, raising the question of acutely decompensated heart failure.