14.8.2013(Heart Failure)

Question 0

Use of cardiac resynchronisation therapy or biventricular pacing

Answer 0

EF<35%
NYHA 3 and 4
LBBB and atrioventricular delay

Question 1

Effect of dopamine based on dose

Answer 1

1-3ug/kg/min- splanchnic vasodilation
2-8ug/kg/min- inotropy
7-10ug/kg/min- vasoconstriction

Question 2

Contraindications to IABP placement

Answer 2

Severe AR

aortoilliac atherosclerosis

Question 3

Indications for ICD placement

Answer 3

All pts with EF<35% for primary prevention of SCD

Question 4

Pts should receive ______ months of optimal medical therapy before reassessment of EF for ICD placement

Answer 4

3

40 days following acute MI or revascularisation

Question 5

Indications for ventricular assist devices

Answer 5

Severe HF after cardiac surgery
Intractable cardiogenic shock after acute MI
Bridge to transplantation

Question 6

Leading causes of death after first post transplant(cardiac) year

Answer 6

Cardiac allograft vasculopathy(CAD/chronic rejection)

Malignancy

Question 7

Candidates suitable for heart transplant should be younger than

Answer 7

65 years

Question 8

Fluid restriction in CCF

Answer 8

Less than 1.5L/day

Question 9

Precipitants of cardiogenic pulmonary Edema

Answer 9

Severe HT
MI or myocardial ischemia(particularly if associated with MR)
Acute valvular regurgitation
New onset tachy or bradyarrythmias
Volume overload in setting of severe LV dysfunction

Question 10

Dose of morphine sulphate in pulmonary Edema

Answer 10

2-5mg every 10-25min

Question 11

Initial and maximum dose of frusemide

Answer 11

20-80mg

200mg

Question 12

Role of nitroprusside in CPE

Answer 12

CPE brought on by hypertension or valvular regurgitation

Question 13

Rx of CPE with significant renal dysfunction and diuretics resistance

Answer 13

Ultrafiltration