TY - JOUR T1 - Opiates should be avoided in acute decompensated heart failure JF - Emergency Medicine Journal JO - Emerg Med J SP - 230 LP - 231 DO - 10.1136/emj.2008.064576 VL - 26 IS - 3 AU - G N Cattermole AU - C A Graham Y1 - 2009/03/01 UR - http://emj.bmj.com/content/26/3/230.4.abstract N2 - We were pleased to read the paper by Peacock et al1 warning of the dangers of morphine therapy in acute decompensated heart failure. This retrospective review was the largest yet performed, with nearly 150 000 patients in the database. The most concerning finding was an increased risk of mortality with an odds ratio of … ER -