Acute Heart Issues/heart failure

Question 1

What are the three acute heart conditions to be aware of?

Answer 1

1) anginas (stable/unstable/variant)
2) myocardial infarction
3) heart failure (L vs R sided)

Question 2

Describe L sided heart failure.

Answer 2

difficulty pumping blood to systemic circulation, so it backs up into lungs

• pulmonary issues: pulmonary edema, orthopnea/dyspnea, paraoxysmal dyspnea, dry cough, wheezing
• issues d/t decreased CO: hypotension, tachy, poor ex. tolerance, weak, fatigue, enlarged heart, S3 sound (maybe S4 too)

Question 3

T/F: R sided heart failure can result in L sided heart failure over time.

Answer 3

false, L sided can cause R sided

Question 4

Describe R sided heart failure.

Answer 4

difficulty pumping blood into pulmonary circulation; backs up into periphery

• get hepatomegaly, acites, weight gain, dependent edema
• see JVD, cyanosis, RUQ pain, and S3 sounds

Question 5

Peripheral edema can be a sign of what sided heart failure?

Answer 5

R sided

Question 6

Pulmonary rales/wheezing can be a sign of what kind of heart failure?

Answer 6

L sided

Question 7

Pulmonary congestion can result from what kind of heart failure?

Answer 7

both; R sided can occur from L sided if bad enough