CHF: Diastolic dysfunction Flashcards Preview

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Flashcards in CHF: Diastolic dysfunction Deck (12):
1

when should you think of HFpEF?

elderly female
concentric LVH
HTN/DM/CKD
Obesity

2

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

Candesartan

3

which drug has sown mortality benefit in HFpEF?

none

4

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

anemics
DM
CRI

5

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

2 or more

6

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

"you gotta warm em up to dry em out"

7

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

low to normal

8

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

high

9

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

normal

10

at what dose is spironolactone a good diuretic?

50mg

11

Normal hemodynamics

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

12

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

<30%