Table 3.
ED Diagnosis | ||||||||
---|---|---|---|---|---|---|---|---|
No AHFS | AHFS | |||||||
| ||||||||
What was the cardiology diagnosis? | What was the cardiology diagnosis? | |||||||
No AHFS | AHFS | No AHFS | AHFS | |||||
Demographics | ||||||||
Age (years) | 59 | 50–72 | 68 | 49–79 | 69 | 55–79 | 64 | 51–75 |
Female | 70 | 45.2 | 13 | 48.1 | 22 | 42.3 | 112 | 45.0 |
African American | 53 | 34.2 | 9 | 33.3 | 16 | 30.8 | 86 | 34.5 |
Caucasian | 102 | 65.8 | 18 | 66.7 | 36 | 69.2 | 162 | 65.1 |
| ||||||||
Vital Signs | ||||||||
Heart Rate (beats/min) | 89 | 76–101 | 89 | 72–97 | 82 | 74–101 | 87 | 74–104 |
Temperature (degrees F) | 97.9 | 97.4–98.6 | 97.8 | 97.3–98.3 | 97.9 | 97.5–98.2 | 97.8 | 97.2–98.2 |
Systolic BP (mmHg) | 140 | 121–158 | 146 | 132–169 | 137 | 120–155 | 139 | 121–158 |
Diastolic BP (mmHg) | 78 | 66–91 | 80 | 71–100 | 74 | 63–87 | 81 | 69–93 |
Respiratory Rate | 18 | 18–22 | 20 | 18–24 | 20 | 17–22 | 20 | 18–24 |
Oxygen Saturation | 96 | 94–98 | 96 | 94–98 | 96 | 94–98 | 96 | 93–98 |
| ||||||||
Lab Values | ||||||||
BNP (pg/ml) | 105 | 38–293 | 212 | 87–941 | 214 | 79–518 | 825 | 423–1656 |
Sodium (mEq/L) | 138 | 136–140 | 137 | 134–140 | 139 | 135–141 | 138 | 136–140 |
Glucose (mg/dl) | 117 | 98–145 | 102 | 88–155 | 117 | 100–149 | 120 | 103–151 |
BUN (mg/dl) | 15 | 11–27 | 26 | 14–40 | 21 | 13–33 | 25 | 15–43 |
Creatinine (mg/dl) | 1.2 | 0.9–1.6 | 1.2 | 1.0–2.3 | 1.4 | 1.0–1.7 | 1.4 | 1.0–2.2 |
Hemoglobin (g/dl) | 12.4 | 11.1–13.9 | 12.5 | 11.4–15.0 | 12.5 | 11.0–13.4 | 12.3 | 10.8–13.9 |
| ||||||||
Chest X-ray Findings | ||||||||
Pulmonary Edema | 1 | 0.7 | 0 | 0.0 | 6 | 11.5 | 29 | 11.8 |
Infiltrates | 39 | 25.8 | 6 | 23.1 | 12 | 23.1 | 57 | 23.2 |
Pleural Effusion | 28 | 18.5 | 4 | 15.4 | 10 | 19.2 | 81 | 32.9 |
Interstitial Edema | 5 | 3.3 | 2 | 7.7 | 4 | 7.7 | 34 | 13.8 |
| ||||||||
Exam Findings | ||||||||
Rales or Crackles | 69 | 44.8 | 5 | 20.0 | 31 | 59.6 | 147 | 59.5 |
S3 Gallop | 7 | 5.1 | 1 | 4.2 | 3 | 6.3 | 33 | 15.9 |
JVD | 21 | 16.4 | 4 | 18.2 | 10 | 22.7 | 61 | 30.5 |
Extremity Edema | 94 | 61.4 | 14 | 51.9 | 30 | 60.0 | 152 | 61.8 |
| ||||||||
Medical History | ||||||||
Renal Disease | 25 | 16.1 | 9 | 33.3 | 9 | 17.3 | 65 | 26.1 |
Heart Failure | 68 | 43.9 | 24 | 88.9 | 29 | 55.8 | 215 | 86.3 |
COPD | 76 | 49.0 | 12 | 44.4 | 24 | 46.2 | 92 | 36.9 |
Hypertension | 129 | 83.2 | 22 | 81.5 | 49 | 94.2 | 215 | 86.3 |
Myocardial Infarction | 35 | 22.6 | 10 | 37.0 | 14 | 26.9 | 105 | 42.2 |
CABG | 26 | 16.8 | 6 | 22.2 | 9 | 17.3 | 77 | 30.9 |
Pacemaker | 23 | 14.8 | 6 | 22.2 | 9 | 17.3 | 65 | 26.1 |
ICD | 17 | 11.0 | 4 | 14.8 | 8 | 15.4 | 55 | 22.1 |
BP=blood pressure; BNP=B-type natriuretic peptide; BUN=blood urea nitrogen; JVP=jugular venous pressure; CRI=chronic renal insufficiency; COPD=chronic obstructive pulmonary disease; CABG=coronary artery bypass grafting; ICD=implantable cardioverter defibrillator