L1: Heart Failure - Pt 3

Question 1

Epidemeology of HFpEF

Answer 1

Question 2

Etiology of HFpEF

Answer 2

Question 3

PPTs of HFpEF

Answer 3

Question 4

Dx of HFpEF

Answer 4

Question 5

Dx of HFpEF

• Echo

Answer 5

• Abnormalities MV inflow (E/A reversal & changes in E wave deceleration time)
• Decreased myocardial relaxation (inc. isovolumic relaxation time & dec. early diastole tissue Doppler velocity)

Question 6

Dx of HFpEF

• PCWP

Answer 6

Exercise-induced increase in PCWP

(+-Chronotropic response & VD reserve)

Question 7

Management of HFpEF

Answer 7

Question 8

Management of HFpEF

• LSM

Answer 8

(diet & exercise) → improve quality of life & FC

Question 9

Management of HFpEF

• BB

Answer 9

Question 10

Management of HFpEF

• TCIAS

Answer 10

Question 11

Management of HFpEF

• Managemnet of Co-Morbidities

Answer 11

(obesity, COPD, OSA, CKD & anemia/ iron deficiency) → improve QOL & FC

Question 12

Management of HFpEF

• ACE/ARBs

Answer 12

NO benefit

Question 13

Management of HFpEF

• ARNI & MCA

Answer 13

ARNI: improves QOL, FC

MCA: Dec mort. & HF

Question 14

Management of Acute Decompensated HF

Answer 14

Question 15

Management of Acute Decompensated HF

• Initial Approach

Answer 15

Question 16

Management of Acute Decompensated HF

• Hospitalization

Answer 16

Question 17

Management of Acute Decompensated HF

• Adjustment of Oral Needs

Answer 17

Question 18

Management of Acute Decompensated HF

• PA Catheter

Answer 18

Question 19

Management of Acute Decompensated HF

• IV VDs

Answer 19

Question 20

Management of Acute Decompensated HF

• IV Inotropes

Answer 20

Question 21

Management of Acute Decompensated HF

• Mechanical Circulatory Support

Answer 21

Question 22

Management of Acute Decompensated HF

• Cardiac Transplantion

Answer 22