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. Author manuscript; available in PMC: 2016 Jan 1.
Published in final edited form as: Acad Emerg Med. 2014 Nov 25;22(1):94–112. doi: 10.1111/acem.12538

Table 5.

Associated Clinical Characteristics and Treatment Approaches Based on ED Presentation Phenotype

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.