L1: Heart Failure - Pt 2 Flashcards
(63 cards)
1
Q
Pathophysiology of Heart Failure
A
2
Q
Pathophysiology of Heart Failure
- SNS Activation
A
3
Q
Pathophysiology of Heart Failure
- RAAs Activation
A
4
Q
Pathophysiology of Heart Failure
- frank-Sterling mechanism
A
5
Q
Pathophysiology of Heart Failure
- ventricular Hypertrophy
A
6
Q
CP of Heart Failure
A
7
Q
CP of Heart Failure
- Symptoms
A
8
Q
CP of Heart Failure
- Forward symptoms
A
9
Q
CP of Heart Failure
- Backward Symptoms
A
10
Q
CP of Heart Failure
- Palpitations
A
….
11
Q
CP of Heart Failure
- Symptoms of cause / complications
A
….
12
Q
CP of Heart Failure
- Signs
A
13
Q
Signs of Heart Failure
- Pulse
A
14
Q
Signs of Heart Failure
- BP
A
Decreased SBP
15
Q
Signs of Heart Failure
- Others
A
16
Q
Local Signs of Heart Failure
A
17
Q
Local Signs of Heart Failure
- Precordial Exam
A
18
Q
Local Signs of Heart Failure
- Auscultation
A
19
Q
INVx for Heart Failure
A
20
Q
INVx for Heart Failure
- Blood Work
A
21
Q
Def of BNP / NT-proBNP
A
B-Type Natriuretic Peptide
22
Q
Physiology of BNP / NT-proBNP
A
- Secreted by ventricles (due to LV wall stretch and tension) that is cleaved into proBNR.
- After secretion into ventricles, proBNP is cleaved into the active C-terminal portion and the inactive N-terminal-proBNP portion.
23
Q
Cause of BNP / NT-proBNP
A
(due to LV wall stretch and tension)
24
Q
What Increases BNP / NT-proBNP?
A
with
- age
- renal dysfxn
- Pulm Emb
- A.Fib
25
What Decreases **BNP / NT-proBNP** ?
obesity
26
Level of **BNP / NT-proBNP** Suggestive of HF
27
INVx for **Heart Failure**
- ECG
28
INVx for **Heart Failure**
- Radiology
29
Radiology for **Heart Failure**
30
Radiology for **Heart Failure**
- CXR
- Cardiomegaly +- cephalization
- Kerley B-lines
- Bronchio-alveolar cuffing
- pleural effusion
31
Radiology for **Heart Failure**
- ECHO
- Heart size/function
- SWMA
- valve abnormalities
- infiltrative/pericardial diseases
32
Radiology for **Heart Failure**
- CMRI
distinguishes ischemic vs. nonischemic CM & can help determine etiology of later ....
33
INVx for **Heart Failure**
- PA Catheter
34
INVx for **Heart Failure**
- CT Angio
if no CAD, workup for nonischemic CM
35
Chronic Management of **HF**
36
Chronic Management of **HF**
- Aimed At
37
Chronic Management of **HF**
- Stage A
38
Chronic Management of **HF**
- Stage B
39
Chronic Management of **HF**
- Stage C
40
Chronic Management of **HF**
- Stage D
41
TTT of **HFrEF**
42
TTT of **HFrEF**
- DOC With mortality Benefit
43
DOC With mortality Benefit in **HFrEF**
- ACE / ARBs
44
DOC With mortality Benefit in **HFrEF**
- ARNI
45
DOC With mortality Benefit in **HFrEF**
- BB
46
DOC With mortality Benefit in **HFrEF**
- MCA (MRA)
47
DOC With mortality Benefit in **HFrEF**
- HDZ / NTG
48
DOC With mortality Benefit in **HFrEF**
- Ivabradine
49
DOC With mortality Benefit in **HFrEF**
- SGLT2(-) & sGC(+)
50
Dose in **HFrEF**
- ARNI
51
Dose in **HFrEF**
- Ivabradine
52
Dose in **HFrEF**
- SGLT2(-)
53
DOC in **HfrEF** without Mortality Benifit
54
DOC in **HfrEF** without Mortality Benifit
- Diuretics
55
DOC in **HfrEF** without Mortality Benifit
- Digoxin
56
DOC in **HfrEF** without Mortality Benifit
- Iron Therapy
57
DOC in **HfrEF** without Mortality Benefit
- Anticoagulation
58
DOC in **HfrEF** without Mortality Benefit
- Heart Rhythm
59
TTT of **HfrEF**
- Meds To Avoid
- NSAIDs
- Nonhydropyridine CCBs
- TZDs
60
Non-Pharmacologic TTT of **HF**
61
Non-Pharmacologic TTT of **HF**
- ICD
62
Non-Pharmacologic TTT of **HF**
- CRT
63
TTT of **HF**
- Algorithm
