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Clin Med Cardio 1 > Heart Failure > Flashcards

Flashcards in Heart Failure Deck (16)
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1

RF of HF

CAD, smoking, MI, HTN, obesity, DM

2

Pathophys of HF

Pump failure --> fluid backup
- LHF --> lungs
- RHF --> systemic

3

How does pt in HF present?

Fatigue, SOB, orthopnea, nocturnal SOB, cough, wheezing, LE edema, nocturia

4

HF physical exam findings

Tachypnea, JVD, rales, wheezing, S3 gallop, edema, hepatomeg, PMI displacement

5

How to diagnose HF?

CXR, echo, BNP, ECG

6

How to treat HF?

- Stable: supportive--O2, morphine, diuretic, vasodilator
- HTN Crisis: O2, IV BB and nitro
- HypoTN: O2, inotrope or vasopressor

7

Diastolic HF

Normal EF and contraction

8

Systolic HF

Low EF and contraction

9

Class 1 HF

Mild. Heart disease but asympt

10

Class 2 HF

Mild. Heart disease, slight sx w/ ordinary activity

11

Class 3 HF

Moderate. Heart disease, sx w/ less than ordinary activity

12

Class 4 HF

Severe. Heart disease, can't perform physical activity w/o sx or sx at rest

13

Stage A HF (and tx)

At risk for HF, no heart disease
Tx: diuretics, ACEI, ARB, lifestyle changes

14

Stage B HF (and tx)

Heart disease w/o sx
Tx: prevent progression (stage A tx) + BB in CAD

15

Stage C HF (and tx)

Heart disease w/ sx
Tx: (stage A tx) + wt monitor, compress socks

16

Stage D HF (and tx)

Refractory HF
Tx: LVAD + heart transplant (for younger pts)