Flashcards in OnlineMedEd: Cardiology - "Heart Failure" Deck (10):
Right heart failure leads to ________________ edema.
peripheral (JVD, hepatosplenomegaly, and pedal edema)
Liver dysfunction from right heart failure is called _____________.
Which side of heart failure causes dyspnea on exertion?
Left-heart failure causes DOE because of congestion in the lungs. Right-heart failure causes DOE because of inadequate blood flow to the lungs.
A _______________ deplaced PMI is suggestive of heart failure.
Describe the diagnostic workup that you should do (and two others that you can do) to evaluate heart failure.
• Should do:
- Echo (look for EF, pulmonary BP, diastolic or systolic structural changes)
- Left-heart catheter
• Can do:
- Chest x-ray
Review the New York Heart Association classes.
• I: no symptoms
• II: symptoms with moderate exertion
• III: symptoms with mild exertion
• IV: symptoms at rest
Explain the treatment tiers of heart failure.
• I: beta-blocker, ACEi
• II: beta-blocker, ACEi, furosemide
• III: beta-blocker, ACEi, furosemide, spironolactone or isosorbide dinitro-hydralazine
• IV: beta-blocker, ACEi, furosemide, spironolactone or isosorbide dinitro-hydralazine, inotropes/transplant
What lifestyle recommendations are recommended for all heart failure patients?
• Smoking cessation
• Fluid restriction to less than 2 L/day
• Salt restriction to less than 2 g/day
Describe the workup of CHF exacerbations.
• First, do a CXR, ECG, troponins, and BNP to evaluate what is going on.
- If those tests are negative, consider other causes.
- If the patient is having a STEMI, then take them to the cath lab.
• Second, if tests show that the person is having an exacerbation of their CHF, then treat with LMNOP.