Cardiology Heart Failure Flashcards
Renin, aldosterone, angio II, catecholamines- what does this modulate
heart failure
What is systolic heart failure?
heart failure with ejection fraction – reduced contractility and increased volume. pulmonary edema.
Pulmonary Edema, plerual effusion, mitral valve regurg–all signs which type of failure
left heart failure
Right sided heart failure should not cause pulmonary edema- True or False?
True.
MCC of right heart failure
Left Heart Failure
What does the ANP or the BNP do?
Vasodilation
ANP/BNP do naturiesis- increase Na + excretion
Define diastolic heart failure
impaired relaxation of the ventricles (ventricles become stiff) lots of high pressure, decrease compliance
Signs of which type of heart failure:
hypoxic pulmonary vasoconstriction.
right heart failure
signs of which type of heart failure: pleural effusion-
left heart failure
What are the causes of systolic heart failure?
ischemic heart disease ? 50 years
viral myocarditis
chronic alcohol use
How does the LVEDP/compliance change in systolic heart failure?
increase, increase compliance.
cant pump out blood, therefore LVEDP increases and because of the volume overload the heart starts to expand and accomodate more blood therefore compliance increases
Eccentric hypertrophy associated with what?
systolic heart failure
Diastolic Heart failure is characterized by what?
increased pressure, decreased compliance
What is the cause of diastolic heart failure?
prolonged hypertension, aortic stenosis, infiltrative disorders
In diastolic heart failure- how does contractility + compliance change?
increase contractility because increased pressures
decrease compliance (because of the way the sarcomeres are added)