ACDIS
Clinical Documentation Improvement
PHYSICIANS
Please Document the Acuity and Type of CHF:
|ACUITY |
|Acute |
|Acute on Chronic |
|Chronic |
|TYPE |
|Diastolic Heart Failure |
| |
|● Evidence of diastolic dysfunction =impaired relaxation; heart |
|does not properly let blood in. |
| |
|● Evidence of normal ventricular systolic function with an EF >50% or high normal EF due to smaller left ventricular size |
| |
|●Concentric left ventricular hypertrophy/thickening & abnormal diastolic filling resulting in impaired relaxation and poor filling|
|Systolic Heart Failure |
| |
|●Evidence of systolic dysfunction =impaired contraction ;heart |
|does not properly let blood out due to thickened left ventricle |
| |
|●EF < 40% or abnormally low EF |
| |
|●Left ventricular dilation/enlargement & Low cardiac output from impaired emptying |
References: AHA: Heart Failure 04/03/2009, Cleveland Clinic Center for CME 2010 Robert Hobb ,M.D.,UCSF Academic Geriatric Resource Program 09/2007
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