Cardiology Heart Failure Flashcards

1
Q

Renin, aldosterone, angio II, catecholamines- what does this modulate

A

heart failure

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2
Q

What is systolic heart failure?

A

heart failure with ejection fraction – reduced contractility and increased volume. pulmonary edema.

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3
Q

Pulmonary Edema, plerual effusion, mitral valve regurg–all signs which type of failure

A

left heart failure

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4
Q

Right sided heart failure should not cause pulmonary edema- True or False?

A

True.

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5
Q

MCC of right heart failure

A

Left Heart Failure

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6
Q

What does the ANP or the BNP do?

A

Vasodilation
ANP/BNP do naturiesis- increase Na + excretion

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7
Q

Define diastolic heart failure

A

impaired relaxation of the ventricles (ventricles become stiff) lots of high pressure, decrease compliance

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8
Q

Signs of which type of heart failure:
hypoxic pulmonary vasoconstriction.

A

right heart failure

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9
Q

signs of which type of heart failure: pleural effusion-

A

left heart failure

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10
Q

What are the causes of systolic heart failure?

A

ischemic heart disease ? 50 years
viral myocarditis
chronic alcohol use

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11
Q

How does the LVEDP/compliance change in systolic heart failure?

A

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

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12
Q

Eccentric hypertrophy associated with what?

A

systolic heart failure

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13
Q

Diastolic Heart failure is characterized by what?

A

increased pressure, decreased compliance

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14
Q

What is the cause of diastolic heart failure?

A

prolonged hypertension, aortic stenosis, infiltrative disorders

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15
Q

In diastolic heart failure- how does contractility + compliance change?

A

increase contractility because increased pressures
decrease compliance (because of the way the sarcomeres are added)

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16
Q

concentric hypertrophy is associated with which type of heart failure

A

diastolic heart failure

17
Q

High output failure causes

A

thiamine def
anemia
hyperthyroidism
AV fistula (dialysis arterial vein/Pagets disease)

18
Q

Loop diuretic and digoxin- does it improve survival?

A

no, only helps alleviate symptoms

19
Q

What is the function of aldosterone?

A

Increase Na absorption, Increase excretion of K+

19
Q

PCWP is a surrogate marker

A

LAP (left atrial pressure)

20
Q
A