CHF

Question 1

What are some of the clinical manifestations of CHF?

Answer 1

Dyspnoea
Confusion
Oedema
Nocturnal cough

Question 2

What is the new york heart association classification?

Answer 2

Classification based on symptoms

Question 3

Are diuretics used to improve symptoms or improve survival?

Answer 3

Improve symptoms

Question 4

Diuretics are considered for patients with signs and symptoms of water retention. True or false?

Answer 4

True - they remove excess fluid and therefore reduce oedema and pulmonary congestion

Question 5

Dehydration is a side effect of diuretics. True or false?

Answer 5

True

Question 6

ACE inhibitors are considered for all patients who have LV systolic dysfunction. True or false?

Answer 6

True

Question 7

ACE inhibitors reduce mortality and delay disease progression. True or false?

Answer 7

True

Question 8

Hypokaleamia is a contraindication for use of ACE inhibitors. True or false?

Answer 8

False - hyperkalaemia

Question 9

What are common side effects of ACE inhibitors?

Answer 9

Cough
Hypotension
Hyperkalaemia

Question 10

Angiotensin II antagonists are used as an alternative to what other group of medicines? They are an alternative way of blocking RAAS

Answer 10

ACE inhibitors

Question 11

Asthma is a contraindication for which group of medicines used in CHF?

Answer 11

Beta blockers

Question 12

Beta blockers should be used in addition to diuretics and ACE inhibitors. True or false?

Answer 12

True

Question 13

Tachycardia is a contraindication for use of Beta blockers. True or false?

Answer 13

False - bradycardia is

Question 14

Why is acute heart failure a contraindication for use of B blockers?

Answer 14

Because when you first start B blockers, your symptoms worsen before improving

Question 15

When is digoxin used in CHF?

Answer 15

If CHF is secondary to AF

Question 16

Spironolactone is considered for patients with moderate to severe heart failure if they are still symptomatic despite taking ACEI, digoxin, diuretics. What class is this in NYHA?

Answer 16

III-IV

Question 17

What class of heart failure in NYHA is Ivabradine used for?

Answer 17

Mild to sever (class II-IV) - used in combination with a B-blocker

Question 18

Which drugs should be avoided in CHF?

Answer 18

Class I antidysrhythmics - e.g. lidocaine, flecainide
NSAIDs - ibuprofen, diclofenac
Negative inotropics CCB e.g. diltiazem, verapamil

Question 19

What is meant by class I NYHA system?

Answer 19

Asymptomatic