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Heart Failure
Overview
24
Archaeology
6th Grade
03/24/2014

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Cards

Term
volume of blood ejected from the ventricle during systole
Definition
stroke volume (SV)
Term
volume of blood in the ventricle just prior to contraction. STRETCH
Definition
preload
Term
tension/resistance the left ventricle must overcome in order to empty and eject its SV
Definition
afterload
Term
force of contraction
Definition
contractility (inotropy)
Term
% of blood pumped out of the LV with each contraction. Normal range: 55-70%
Definition
Ejection Fraction (EF)
Term
volume of blood ejected from the LV per minute. Normal range 4-7 L/min
Definition
Cardiac Output (CO)
Term
increases heart rate and causes the release of renin from juxtaglomerular cells in the kidney
Definition
norepinephrine
Term
increased secretion of aldosterone
Definition
increased sodium reabsorption
Term
increased secretion of vasopressin
Definition
increased preload and afterload
Term
increased secretion of endothelin
Definition
increased afterload
Term
dyspnea, fatigue, orthopnea, edema, paroxysmal nocturnal dyspnea (PND), pulmonary congestion
Definition
Heart Failure S/S
Term
Inadequate contracting ventricle, 60-70% of heart failure patients; dilated cardiomyopathies; LVEF of < 40%
Definition
Systolic Heart Failure
Term
normal contracting ventricle, increased resistance to filling, 20-50% of pts with HF, LVEF of >40%
Definition
Diastolic Heart Failure
Term
Echocardiogram (Transthoracic or Trans esophageal)
Definition
LV Ejection Fraction (LVEF), Structural remodeling, Valvular disease
Term
Chest radiography
Definition
cardiomegaly, pulmonary congestion
Term
ECG
Definition
Arrhythmias
Term
HF Physical Exam: CNS
Definition
confusion, altered mental status
Term
HF Physical Exam: Respiratory
Definition
Rales/crackles due to fluid retention in lung
Term
HF Physical Exam: Cardiovascular
Definition
S3 gallop, jugular venous distention (JVD)- more distended the more fluid overload
Term
HF Physical Exam: Renal
Definition
Urine output
Term
HF Physical Exam: extremities
Definition
Peripheral edema: legs, abdomen, scrotum, ascites
Term
HF Laboratory
Definition
Complete metabolic panel (electrolyte disturbances, renal function, blood sugar); Brain Natriuretic Peptide (BNP); Lipid panel; Thyroid
Term
BNP > 100 pg/mL
Definition
86% positive predictive value
Term
BNP < 50 pg/mL
Definition
96% negative predictive value- pt symptoms not related to heart failure
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