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Flashcards in CHF Deck (89)
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1

What is Stage A in CHF

High risk of HF

2

What is Stage B in CHF

ASx HF

3

What is Stage C in CHF

Symptomatic HF

4

What is Stage D in CHF

Refractory end-stage HF

5

What do you give in Stage A

ACEI
ARBs

6

What do you give in Stage B

ACEIs/ARBs or Beta blockers

7

What do you give in Stage C

AceIs/ARBs AND Beta blockers

8

What do you give in Stage D

End of life care
Extraordinary measures

9

Most common cause of HF in USA

CAD and HTN

10

Sx in HF

Decreased exercise tolerance
Dyspnea
Peripheral/pulm edema
Cardiomegaly

11

What is seen in Systolic failure

Reduced contractility and EF

12

What is seen in Diastolic failure

Stiffening (less relaxation)
Reduced CO, but normal EF

13

What is seen in CHF

Abnormal BV and IF fluid increase
Dyspnea
Peripheral edema

14

Physiological compensation in CHF

Activation of SNS, RAAS
Tissue remodelling

15

4 Factors affecting cardiac performance

Preload
Afterload
Contractility
HR

16

What is preload

Stretching of myocardial muscles to increase contractility

17

What is afterload

Force against which the ventricles act

18

What is contractility directly related to

Ca concentration

19

Drugs for systolic failure

Diuretics
Spironolactone
ACEIs
ARBs
Direct vasodilators
Beta blocers
Inotropic agents

20

Drugs for diastolic failure

Diuretics
Ca channel blockers
Beta blockers

21

What do you never give in diastolic failure

+ve Inotropic agents

22

DOC in heart failure

ACEIs

23

Teratogenic so contraindicated in pregnancy

ACEIs
ARBs

24

Reduce HF Sx and Hospital time

DIgoxin

25

Increase exercise tolerance

Digoxin

26

Does NOT increase survival

Digoxin

27

What Thiazides are used in CHF

Chlorthalidon
Hydrochlorothiazide
Metolazone

28

What Loops are used in CHF

Ethacrynic acid
Furosemide
Torsemide

29

What Aldosterone antagonists are used in CHF

Spironolactone
Eplerenone

30

What ACEIs are used in CHF

Captopril
Enalapril
Lisinopril