A patient presented with dyspnea and suspected heart failure. Initial clinical examination, electrocardiogram, and baseline blood tests did not provide a clear diagnosis. A chest x-ray and echocardiogram also did not confirm the diagnosis. Measurement of pro-BNP levels found them to be over 400 ng/L, indicating likely heart failure. The heart failure diagnosis was then confirmed.

1. 2nd step in
diagnosis
1st step in
diagnosis
patient presents
with dyspnea
Patient Presents
With Dyspnea And
Heart Failure
Suspected
Clinical Examination
Ecg
Base Line Investigations
cbc,lft ,rft,serum electrolyte
Diagnosis Unclear
Chest Xray PA View
Echocardiography
Diagnosis Still Not
Clear Do
Nt Pro-bnp Levels
If >400ng/L Heart
Failure Likely
Heart Failure Diagnosis
Confirmed
Stable
Heart
Failure
Unstable/Dec
ompensated
Heart Failure