Polymorbid Patient With Decompensated Congestive Heart Failure – Diagnostic And Therapeutic Challenges The Key Role Of The Individualized Approach

Abstract

We present a clinical case of a patient with exacerbated chronic congestive heart failure, unstable hemodynamic status, and progressively worsening respiratory failure, which necessitated the patient to be intubated and placed on mechanical ventilation. In the course of the diagnostic-therapeutic process, several possible causes for the severe general condition of the patient were discussed. During the hospital stay, there also occurred an acute neurological deficit. With this clinical case, we aim to show the multifactorial genesis of congestive chronic heart failure and the need for a complex treatment in order to achieve a favorable outcome.