Acute decompensated heart failure

This article in The Hospitalist is a concise evidence based summary of ADHF. Although there’s nothing brand new in terms of evidence presented there the article makes an underemphasized point: Inotropes such as dobutamine and milrinone, once the tools of the intensivist, are assuming an important place in the pharmacopeia of the palliative care specialist due to their principal role of symptom relief and the principle of double effect.