Symptoms and Signs of Congestive Heart Failure
Michael Imburgia, MD, Cardiology Specialist at AristaMD
Symptoms of Heart Failure
There are symptoms many of heart failure. The typical ones, of course, are being out of breath, having orthopnea, shortness of breath when you’re lying down, having p and d where you have to get up out bed abruptly and catch your breath reduced exercise tolerance being fatigued, tired, ankle swelling. And then there are less typical symptoms of heart failure and signs of heart failure.
Signs of Heart Failure
There are things that are much more specific for heart failure, such as elevated jugular venous pressures, hearing a Gallup, in particular an S3 Gallup, having cardiomegaly on exam. So the point of maximal impulse is either shifted to the right or it’s diffuse. And then other abnormal breathing, uh, are all more specific signs of heart failure.
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Five Ways eConsults Support Value-Based Care
Combine your referral management platform with an eConsult solution to reduce patient wait times and the cost of care. Learn five ways our eConsults support value-based care by allowing primary care physicians, nurse practitioners or PAs to submit electronic requests for patient advice to our team of specialists to manage low-acuity patients.
#1 Help Patients Avoid Unnecessary Face-to-Face Specialty Visits
About 70% of eConsults can address what physicians typically send for a face-to-face specialty visit. As a web-based physician-to-physician consultation, there is no need for any particular technology or integration — the PCP orders the referral the same way they would traditionally order one. Or suppose the patient was to go face-to-face for a specialty consult with the provider using our referral nurse coordination, RNN service, and nurse navigators. In that case, our nurse will curate the eConsults by grabbing all of the data needed for the patient from the chart. Private health information is then sent to our specialist, who reviews the data and provides an evidence-based response on that patient’s best practice and management. Within four to six hours, the primary care provider receives a notification and can view the eConsult specialist’s recommendations.
The bottom line — for every specialty visit where we serve the patient using an eConsult and address issues through the primary care provider, we can fend off the need for three face-to-face visits. Also, once you gain specific knowledge from a specialist on a particular condition, you have the answer to the same question when it comes up again.
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Michael Imburgia, MD
Cardiology Specialist at AristaMD
Dr. Michael Imburgia is a board-certified Cardiologist. He attended medical school at Southern Illinois University School of Medicine. Dr. Imburgia completed his residency and a Cardiology fellowship at Jewish Hospital through Washington University Medical Center in St. Louis. He has practiced cardiology for over 30 years. Dr. Imburgia started Louisville Cardiology in 1997, now Baptist Health Louisville Cardiology. He is the founder and Medical Director of Have the Heart Clinic in Louisville.