Systolic and Diastolic HF Flashcards Preview

Cardio 2 > Systolic and Diastolic HF > Flashcards

Flashcards in Systolic and Diastolic HF Deck (14):
1

4 Classifications of HF

I - Symptomatic w/ greater than ordinary activity
II - ordinary activity
III - minimal activity
IV - symptomatic at rest

2

Stage C

Structural Disease. Once EF < 40%, pt needs to be on BB unless contraindication. Because once has scar, can experience sudden death

3

Stage D

Refractory disease requiring special intervention, start ionotropes

4

Alpha1 Stimulation (2)

Increase both AL and PL, but also induce kidney to produce renin which isn't what you really want in HF

5

Biggest Problem of RAS in HF

AT I R can lead to myocardial fibrosis, which sucks donkey nuts

6

2 Hemodynamic Profile of HF Aspects

Congestion (dry-wet little-a lot)
Perfusion (cold-warm little-a lot)

7

Highest Specificity Sign of HF (& 2nd)

Increased JVP (S3 also high)

8

Bad Drug Combo w/ ACEis

NSAIDs

9

E and A on Echocardiogram

E is passive ventricular filling, A is atrial kick

10

Low EF Treatment Protocol (5)

ACEi (ARB if intolerant) and BBs, maybe aldosterone antagonist
Digitalis
Ionotropes Harmful, but may increase QoL palliatively

11

Seattle Heart Failure Model

Predict lifespan

12

3 Strongest Predictors of ADHF

High BUN, low SBP, High Serum Creatinine

13

Implantable Defibrillators (ICD)

Shock you or w/e but it's fucking miserable and you die from pulmonary edema which fucking sucks

14

Left Ventricular Assist Device

Basically sucks in blood and pumps it into aorta, pretty solid. Can be pulsatile or continuous flow