A patient presents with dyspnea on exertion, orthopnea, and lower extremity edema. They have a prior history of coronary artery disease and reported episodes of chest pain three months ago. They did not seek medical evaluation at the time and have had no chest pain recently. In this setting, there is a high clinical suspicion of heart failure with concern for ischemic heart disease. The gold standard for diagnosis of heart failure is a formal transthoracic echocardiogram. Bedside point of care ultrasound (POCUS) is a tool that can provide essential information without delay in diagnosis.
Dong, MD, Michael; Davis, MD, Rebecca; Foster, MD, Jonathan; Cooper, MD, Jillian; and West, MD, Frances Mae
"A Guide to Point of Care Ultrasound Examination of Acute Decompensated Heart Failure,"
The Medicine Forum: Vol. 24, Article 13.
Available at: https://jdc.jefferson.edu/tmf/vol24/iss1/13