Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios +LR > 3.5: • Overall judgement of ED physician • History of heart failure • JVD • S3 • AFib -LR < 0.60: • Overall judgement of ED physician • No history of heart failure • No dyspnea on exertion • No rales • Lack of cardiomegaly / congestiong • BNP < 100 pg/ml Adapted from JAMA Evidence Based Physical Examination #chf #cardiology #heartfailure #physicalexam #diagnosis
