CHF: Diastolic dysfunction

Question 1

when should you think of HFpEF?

Answer 1

elderly female
concentric LVH
HTN/DM/CKD
Obesity

Question 2

accorind to CHARM-Preserved, which ACEI/ARB had marginal benefit in reducing hospitalizations in pt’s with HFpEF?

Answer 2

Candesartan

Question 3

which drug has sown mortality benefit in HFpEF?

Answer 3

none

Question 4

which pt populations are at higher risk of mortality with HFpEF?

Answer 4

anemics
DM
CRI

Question 5

after how many HF hospitalizations do you refer to HF specialist?

Answer 5

2 or more

Question 6

if a HF pt is cold and wet, which do you treat first?

Answer 6

“you gotta warm em up to dry em out”

Question 7

if a HF pt. is dry, what will PCWP be?

Answer 7

low to normal

Question 8

if a HF pt. is wet, what will PCWP be?

Answer 8

high

Question 9

if a patient is warm and wet in HF, what will the CI likely be?

Answer 9

normal

Question 10

at what dose is spironolactone a good diuretic?

Answer 10

50mg

Question 11

Normal hemodynamics

Answer 11

RA 5-8
RV 25/5
PA 25/10
PCWP 10
CO 5
CI 2.5

Question 12

what percent decrease in BNP after HF Rx is assoc. w/ high rates of rehospitalization in short term?

Answer 12

<30%