Heart Failure II - Diagnosis & Treatment continued Flashcards Preview

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Flashcards in Heart Failure II - Diagnosis & Treatment continued Deck (11):
1

ACC/AHA HF Stage A

At risk for HF but w/o structural HD or symptoms of HF

2

ACC/AHA HF Stage B

Structural HD but w/o signs or symptoms of HF

3

ACC/AHA HF Stage C

Structural HD w/ prior or current symptoms of HF

4

ACC/AHA HF Stage D

Refractory HF requiring specialized interventions

5

Drugs to use for indiv. in Stage A

ACEI or ARB in appropriate pts

6

Drugs to use for indiv. in Stage B

ACEI or ARB or Beta-blockers in appropriate pts

7

Drugs to use for indiv. in Stage C

ACEI or Beta-blockers
Diuretics for fluid retention

8

NYHA Functional class:
Describe
Class I
Class II
Class III
Class IV

Class I: asymptomatic
Class II: symptomatic with moderate exertion
Class III: symptomatic with minimal exertion
- ie: walking up stairs
Class IV: symptomatic at rest

9

What can you use for Cardiac resynchronization therapy and what do they cause?

Biventricular pacemakers (CRT or BiV)
- Cause the LV lateral wall and septal wall to contract together, and cause a more efficient contraction/ increase stroke volume

10

If a patient is cold and wet what should you do to get them back to a happy level?

Warm = good CO
Dry = not congested

Cold wet → give them ionotrope → Warm wet → reduce congestion with diuretic → Warm and dry (happy)

11

Therapy for HFpEF

diuretics - as inefficient as they may be for relief of symptoms due to volume overload

blood pressure control

coronary revascularization when myocardial ischemia is present

(no drugs to reduce fibrosis - trials pending)