Background: Acute heart failure (AHF) exacerbations are a leading cause of hospitalization in the United States. Despite the frequency of AHF hospitalizations, there are inadequate data or practice guidelines on how quickly diuresis should be achieved. Methods: We conducted a pooled cohort study using data from three acute heart failure trials (DOSE, ROSE, and ATHENA-HF). […]

Background: Acute heart failure (AHF) exacerbations are a leading cause of hospitalization in the United States. Despite the frequency of AHF hospitalizations, there are inadequate data or practice guidelines on how quickly diuresis should be achieved. Methods: We conducted a pooled cohort study using data from three acute heart failure trials (DOSE, ROSE, and ATHENA-HF). […]

Background: Management of heart failure (HF) patients revolves around optimization of guideline directed medical therapy (GDMT) and routine monitoring. Substance use plays a major role as the etiology of HF, especially in a low socioeconomic area with ethnic and racial minority patients. The aim of this study is to find the correlation of alcohol, tobacco […]

Background: The key goals of HF therapy are to prevent progression of symptoms, improve quality of life, and prolong survival. Studies have attempted to study and improve post hospitalization outcomes among patients with HF. Social determinants of Health include a wide set of factors from daily life which are responsible for health inequity. Burden of […]

Background: Heart Failure (HF) is among the top 10 causes of hospitalization and almost a fifth are readmitted within 30 days. Clinical assessment of lung congestion is subjective and patients may be discharged prior to good resolution. Lung ultrasound (LUS) is helpful in evaluating lung congestion. The presence of B-lines on LUS can reliably indicate […]

Background: Avoiding preventable readmissions is a major goal of health care systems nationwide1. The Cardiorespiratory cohort consists of Veterans admitted with a diagnosis of CHF, COPD and non-COVID-19 Pneumonia, and is a high-risk group for readmissions. As part of a larger National VA High Reliability Organization (HRO) Collaborative2, an interdisciplinary team was launched to achieve […]

Case Presentation: A 61-year-old male with hypertension, hyperlipidemia, and GERD presented to the ED with intermittent palpitations associated with exertional shortness of breath and near-syncopal episodes since several months. On presentation, he was in sustained Ventricular Tachycardia storm and required defibrillation 5 times despite starting on Lidocaine and Amiodarone infusions along with bolus doses of […]

Case Presentation: A 49-year-old woman of German ancestry without any prior medical history presented to the hospital with complaints of shortness of breath and right lower extremity for 2 weeks. Her examination was notable for tachycardia, notable loud systolic ejection murmur at cardiac apex. Labs revealed mild leukocytosis, elevated D-dimer, BNP, mild hepatocellular transaminitis and […]

Case Presentation: A 76-year-old male with past medical history of atrial fibrillation s/p ablation, recent pacemaker placement, heart failure with preserved ejection fraction (HFpEF), type 2 diabetes, leukemia, and colon cancer presented to the emergency department for weakness and dyspnea on exertion. Patient appeared volume overloaded with bilateral lower extremity edema with labs remarkable for […]

Case Presentation: A 31 year old male with no known medical history presented to the hospital with complaints of acute onset chest pain, shortness of breath and 30 lb weight gain. History was notable for a period of starvation with intake of exogenous testosterone, T3 and growth hormone prior to a bodybuilding competition followed by […]