Table 5.
ED Presentation Phenotype | Clinical Characteristics | Treatment |
---|---|---|
Low BP (SBP < 100 mm Hg) | Known/suspected low LVEF | Diuretics (+++) |
Inotropes/Pressors (++) | ||
Mechanical support (+) | ||
Normal BP (SBP 100–140 mm Hg) | Subacute systems | Diuretics (++) |
Preserved or reduced LVF | IV vasodilators (+) | |
Dietary/medication indiscretion | Topical nitrates (++) | |
High BP (SBP > 140 mm Hg) | History of HTN | Topical/SL nitrates (++) |
Abrupt system onset | Diuretics (+) | |
Flash pulmonary edema | IV vasodilators (+++) | |
Multiple non-CV comorbidities | NIV |
+ = Relative intensity of use; BP = blood pressure; CAD = coronary artery disease; CRI = chronic renal insufficiency; CV = cardiovascular; HTN = hypertension; IV = intravenous; LVEF = left ventricle ejection fraction; NIV = NIV = noninvasive ventilation; SBP = systolic blood pressure; SL = sublingual.