Clinical Research Directory

Inclusion Criteria: * Adults diagnosed with decompensated heart failure in the emergency department or cardiology outpatient clinic at the Clinical Hospital of the University of Chile (HCUCh). * Profile of warm-wet and cold-wet type heart failure. * Spontaneous ventilation with or without non-invasive mechanical support. * Desire for participation validated through informed consent. Exclusion Criteria: * Dry-type heart failure profile (warm and cold) * Diagnostics that mimics heart failure (valvular heart disease, cardiomyopathies, and others diagnostic different from heart failure). * Septic, distributive, or obstructive shock * Polytraumatized * Severe burns * Invasive mechanical ventilation * Permanent renal replacement therapy * Severe dependence * Presence of terminal illness with a prognosis of survival less than one year * Presence of traumatic conditions that prevent the use of thoracic ultrasound, such as a flail chest or moderate to severe burn on the left hemithorax. * Lack of a support network or contact. * Cardiorespiratory arrest * Refusal to participate as indicated in the informed consent. * Presence of psychological or intellectual disability that prevents expressing the will to participate.