91 yo w/ systolic hf stage c (nyha class ii-iii) increasingly fatigued, dizzy and confused over last 5 days (bp, hr wnl). no f/u recommended from pcp visit 4 days ago. hmo plan. when is ed trip needed?

Emergency Room?: The er would be indicated if there is a sudden or dramatic change in his symptoms, or if there is a mental status change such as confusion, as this could represent hypoxia (low oxygen). It also really depends on the patients advanced directives, at some point hospice might be a good choice to provide palliative care without going to the hospital.

Would call pcp back: Or see your cardiologist. Even though your BP and hr are normal, you could be having worsening heart failure. Not sure why your pcp did not do any further investigation on the increase in dizzyness, confusion or fatigue. Needs to be looked at closer.