Term
| Presenting Symptoms and Sign of LV Dysfunction |
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Definition
Symptoms: SOB, Dyspnea, Tachycardia Paroxysmal Nocturnal Dyspnea, Orthopnia
Signs: Rales, Pulm Edema, S3, Cheyne-Stokes Respiration |
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Term
| Presenting Symptoms and Signs of RV Dysfunction |
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Definition
Symptoms: Abdominal Pain, Bloating, Swelling
Signs: Ascities, Anasarca, JVD, Hepatomegly |
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Term
| Is CHF more commonly a diastolic or systolic dysfunction? |
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Definition
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Term
| What are the CHF compensation mechanisms that actually exacerbate the condition |
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Definition
Frank-Starling (preload)
Neurohomonal (preload and afterload)
Ventricular Remodeling |
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Term
What are the Classes and Stages of CHF?
In which classification system can you see reversal to a previous step with Tx? |
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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 |
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Term
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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 |
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Term
| What CHF patients are indicated for CRT Implant |
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Definition
ClassII/III,
Persistant Symptoms
Wide QRS
Low EF: <35% |
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