Shared Flashcard Set

Details

Cardio-ICM
Congestive Heart Failure
7
Medical
Graduate
10/09/2010

Additional Medical Flashcards

 


 

Cards

Term
Presenting Symptoms and Sign of LV Dysfunction
Definition

Symptoms: SOB, Dyspnea, Tachycardia Paroxysmal Nocturnal Dyspnea, Orthopnia

Signs: Rales, Pulm Edema, S3, Cheyne-Stokes Respiration

Term
Presenting Symptoms and Signs of RV Dysfunction
Definition

Symptoms: Abdominal Pain, Bloating, Swelling

Signs: Ascities, Anasarca, JVD, Hepatomegly

Term
Is CHF more commonly a diastolic or systolic dysfunction?
Definition
Systolic
Term
What are the CHF compensation mechanisms that actually exacerbate the condition
Definition

Frank-Starling (preload)

Neurohomonal (preload and afterload)

Ventricular Remodeling

Term

What are the Classes and Stages of CHF?

In which classification system can you see reversal to a previous step with Tx?

Definition

Class: 1->4

No SOB->SOB with stairs->Daily Function SOB-> Rest SOB

Stage:A->D

High risk w/o Structural->Structural w/o symptoms-> Structural + Symptoms-> End Stage

The class can be reversed

Term
CHF Treatment By Stage
Definition

A: Reduce Risks, Tx Underlying Disease, maybe add Ace-Inhibitors

B: Ace-Inhib for low EF, maybe B-block

C: Ace-Inhib, B-Block, Spirono, Defribilator

C+Persistant Sym: Add CRT, Diuretics, BiDil, Digatalis

D: Mechanical Ass, Transplant, Continuous IV Intrope, Hospice

Term
What CHF patients are indicated for CRT Implant
Definition

ClassII/III,

Persistant Symptoms

Wide QRS

Low EF: <35%

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