, Acute Decompensated Heart Failure
(HFrEF)
Patient Profile
Name: Robert Coleman
Age: 72 years
Gender: Male
Setting: Emergency Department / Outpatient urgent visit
Chief Complaint
“Shortness of breath that has been getting worse over the past 3 days.”
History of Present Illness (HPI)
Robert Coleman is a 72-year-old male with a history of hypertension and ischemic heart
disease who presents with progressively worsening shortness of breath for 3 days. He
reports difficulty breathing when lying flat and now sleeps using three pillows. He wakes
up at night gasping for air.
He also reports:
• Swelling in both legs for 1 week
• Fatigue and reduced exercise tolerance
• Mild dry cough
• Weight gain of about 2–3 kg over a week
He admits he may have missed some of his “water pills” recently due to feeling well.
No chest pain currently, but mild pressure sensation earlier in the week.
(HFrEF)
Patient Profile
Name: Robert Coleman
Age: 72 years
Gender: Male
Setting: Emergency Department / Outpatient urgent visit
Chief Complaint
“Shortness of breath that has been getting worse over the past 3 days.”
History of Present Illness (HPI)
Robert Coleman is a 72-year-old male with a history of hypertension and ischemic heart
disease who presents with progressively worsening shortness of breath for 3 days. He
reports difficulty breathing when lying flat and now sleeps using three pillows. He wakes
up at night gasping for air.
He also reports:
• Swelling in both legs for 1 week
• Fatigue and reduced exercise tolerance
• Mild dry cough
• Weight gain of about 2–3 kg over a week
He admits he may have missed some of his “water pills” recently due to feeling well.
No chest pain currently, but mild pressure sensation earlier in the week.
