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The general level of readiness is at a moderate level. It seems necessary to focus on resources and areas related to public information. Rapid diagnosis of heart failure (HF) in acutely dyspneic patients can be challenging for emergency department (ED) physicians. Cardiac output (CO) change with sublingual nitroglycerin (NTG) could be helpful in the diagnosis of HF in patients with acute undifferentiated dyspnea. A prospective study of patients 18 years admitted to the ED for acute dyspnea. Using thoracic bioimpedance, we measured CO