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Heart Failure
PA CLin Med
26
Health Care
Graduate
11/02/2009

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Cards

Term
what differentiates HF from CHF:
Definition
CHF has volume overload
Term
is left heart failure usually systolic or diastolic?
Definition
systolic
Term
S/Sx of left heart failure:
Definition
Dyspnea on exertion
Dyspnea lying flat
Dyspnea paroxysmal nocturnal
Dry cough
Dang tired
Diaphoresis
Decreased breath sounds
Dullness to percussion
Term
dilated cardiomyopathy, diastolic or systolic HF?
Definition
systolic
Term
LVH diastolic or systolic HF?
Definition
diastolic
Term
most common cause of systolic HF in US:
Definition
CAD
Term
what is the likely type of HF in a 75yo femal w HTN?
Definition
Diastolic HF
Term
most common cause of RHF is:
Definition
LHF
Term
S/Sx RHF:
Definition
1. S3 heart sound
2. weight gain
3. Ascites
4. Dyspnea
5. Edema
6. JVD
Term
Anemia, thyrotoxicosis, AV fistula. warm extremities, high pulse pressure:
Definition
high output failure
Term
systolic HF, cold extremeties, narrow pulse pressure:
Definition
low output failure
Term
peripheral S/Sx of HF often elevating right filling pressures:
Definition
RHF
Term
impared relaxation, compliance problems, EF normal
Definition
diastolic HF
Term
4 causes of RHF:
Definition
1. pulmonary HTN
2. Left heart dz
3. Pulm dz (COPD, sleep apnea)
4. Pulm Embolism
Term
HTN is assoc with which HF?
Definition
diastolic HF; pumping against increased BP causes hypertrophy which leads to faulty filling (diastole)
Term
3 major causes of HF:
Definition
1. CAD
2. HTN
3. dilated cardiomyopathy
Term
5 uncommon causes of HF:
Definition
1. valvular dz
2. PE
3. myocarditis
4. toxins; ETOH/cocaine
5. high output states: anemia, thyrotoxicosis, beriberi, AVfistula
Term
what is the single most effective test for Dx of HF?
Definition
2D echo with doppler
Term
Which drugs have show prolonged survival in HF?
Definition
BB, ACEI, ARBs
Term
side effects of aldosterone antagonist (spironolactone)
Definition
hyperkalemia
Term
side effect of ACEI:
Definition
cough & angioedema (big swollen lips, renal side effects
Term
side effects of Beta blockers:
Definition
can worsen HF if started in high doses or started in acute CHF
Term
3 other HF drugs that cause hyperkalemia:
Definition
1. lisinopril
2. losartan
3. aldactone
Term
do antiarrhythmic drugs prolong survival in HF?
Definition
NO
Term
what device can decrease mortality in patients who've survived VT & those that have EF <35%
Definition
ICD
Term
what are the 3 most costly health problems:
Definition
1. CHF
2. MI
3. dyslipidemias
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