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THERAPEUTICS - HEART FAILURE
Heart Failure
21
Science
Graduate
05/26/2008

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Cards

Term
[image]
Definition

9. R atrium

10. R ventricle

11. L atrium

12. L ventricle

13. Papilary muscles

14. Chordae tendineae

15. Tricuspid valve

16. Mitral valve

17. Pulmonary valve

18. Aortic valve

Term
Stroke Volume is dependent on what factors?
Definition

Pre-load

 

After-load

 

Contractility

Term

CO = _______ x _______

 

fill in the blanks

Definition

HR, SV

 

Cardiac output = Heart Rate x Stroke Volume

Term
BP = _______ x _______
Definition

CO, SVR

 

Blood Pressure =

Cardiac Output x Systemic Ventricular Resistance

Term
SVR = ?
Definition
(Meam Arterial Pressure-Right Arterial Pressure)x80
Cardiac Output
Term
Systole
Definition
contraction, ejection
Term

Diastole

Definition
relaxation, filling
Term
inotropy
Definition

force

Term
Chronotropy
Definition
rate
Term
Lusitropy
Definition
relaxation
Term
Compensated
Definition
counterbalance
Term
Decompensation
Definition
failure to maintain
Term
PMI
Definition

Point of Maximal Impulse

 

Usually located on the left midclavicular 5th intercostal space

 

An enlarged heart or LV heart failure can displace PMI

Term
Preload
Definition
filling, EDV
Term
Afterload
Definition
resistance to ejection, SVR
Term
Ejection fraction
Definition
SV/EDV
Term

"Target dose" or "Survival dose"

Definition
dose associated with the greatest improvement
Term
Describe how decreased cardiac output will result in a physiological increase in preload volume.
Definition

âCO

ârenal perfusion

áRAAS and subsequently vasopressin

áH2O, Na retention

ápreload and venous return

Term
Describe how decreased cardiac output leads to increases in afterload volume.
Definition

âCO

ásympathetic output

áarteriolar resistance

áafterload

Term

What types of ventricular dysfunctions can lead to heart failure?

Definition

Diastolic Dysfunction: where the ventricular walls are enlarged in place of blood volume; ejection fraction is normal, but the volume is lowered.

 

Systolic Dysfunction: where the vetricles are enlarged and have increased filling; the ejection fraction is below 40-50% and pre-load and after-load are increased

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