| No Congestion (Dry) | Congestion present (Wet) | |
| Adequate perfusion (Warm) |
Warm & Dry Outpatient Rx |
Warm & Wet Diuresis |
| Low perfusion (Cold) |
Cold & Dry Inotropes (CCU) |
Cold & Wet Diuresis, inotropes, and/or vasodilator (CCU) |
“Patients are described as either ‘wet’ or ‘dry’ depending on their fluid status and either ‘cold’ or ‘warm’ depending on the assessment of their perfusion status. This combined clinical assessment identifies four groups of patients (warm and wet, warm and dry, cold and dry, cold and wet) that not only allow for initial stratification as a guide to therapy but also carries with it prognostic information. Warm and dry patients have a 6-month mortality rate of 11% as compared with 40% for the cold and wet profile. As a practical measure, this method of classification and risk stratification is a prudent step in the management of AHF” (Kurmani, 2017).
References
Kurmani, Sameer, and Iain Squire. “Acute Heart Failure: Definition, Classification and Epidemiology.” Current heart failure reports vol. 14,5 (2017): 385-392. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597697/