Abstract
Decompensated heart failure (DHF) is characterized by the early accumulation of fluid in the interstitial space of the lungs and of whole body. Nevertheless, diagnostic errors in patients with respiratory symptoms are frequent and the diagnosis of DHF can remain unsuspected in patients with chronic obstructive pulmonary disease (COPD). So, appropriate selection of patients with DHF, especially among those obese and elderly, represents a diagnostic challenge for physicians. Recently, B-type natriuretic peptide (BNP) test was validated in this setting and helps to uncover unsuspected DHF in patients with COPD.
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