Heart Failure and Cor Pulmonae

Question 0

Minor criteria for heart failure

Answer 0

bilateral ankle edema
nocturnal cough
dyspnea on ordinary exertion
hepatomegaly
pleural effusion
decrease in vital capacity by 1/3 from maz recorded
tachycardia >120 BPM

Question 1

Major criteria for heart failure

Answer 1

Paroxysmal nocturnal dyspnea (nighttime dyspnea)
JVD
Cardiomegaly on CXR
pulmonary edema
S3 gallop
increased central venous pressure
hepatojugular reflex
weight loss >4.5kg in 5 days

Question 2

Class I heart failure

Answer 2

No limitation of physical activity. Ordinary physical activity doesnt cause undue fatigue, rapid/irregular heartbeat, palps, or SOB

Question 3

Class II heart failure

Answer 3

slight limitation of physical activity. comfortable at rest but ordinary physical activity results in fatigue, rapid/irregular heartbeat, palps, SOB

Question 4

Class III of heart failure

Answer 4

marked limitation of physical activity. comfortable at rest but less than ordinary activity causes fatigue. rapid/irregular heartbeat, palps, SOB

Question 5

Class IV heart failure

Answer 5

unable to carry out any physical activity w/o discomfort. fatigue, SOB, rapid/irregular heartbeat, palps, present at rest

Question 6

Stage A heart failure

Answer 6

pt at high risk for HF but without structural heart disease or symptoms of HF- ie HTN, DM, obesity, CAD, PVD, CVA, fh

Question 7

Stage B heart failure

Answer 7

pts with structural heart disease but w/o signs and symptoms of HF
ie - prior MI, left vent Hypertrophy or valvular disease

Question 8

Stage C heart failure

Answer 8

pts with structural heart disease with prior or current symptoms of HF
ie known structural heart disease and dyspnea, fatigue, reduced exercise tolerance

Question 9

Stage D heart failure

Answer 9

pts with refractory heart failure requiring specialize interventions
ie pt with marked symptoms at rest despite max med therapy with recurrent hospitalizations

Question 10

Cor Pulmonale

Answer 10

reight sided heart disease, secondarily caused by abnormalities of lungs
no evidence of other heart conditions
RF; smoking, predisposition for venous thrombosis, high altitude
Disease of lungs/airway: COPD, asthma, lung disease, TB, emboli
Sx: cyanosis, elevated JVD, hepatojugular reflex, S3 gallop, tricuspid regurg, ascites, SOB, fatigue, deceased exercise tolerance, wt. gain, increased peripheral edema