Cardiovascular- Heart Failure Flashcards
1
Q
What is HF associated with?
A
Reduced left ventricular ejection fraction
2
Q
What are the aims of treatment?
A
relieve symptoms, improve exercise tolerance, reduce mortality
3
Q
What forms the basis of treatment?
A
ACE inhibitor and beta blocker
4
Q
What do you add to ACE inhibitor and beta blocker if patient remains symptomatic?
A
Spironolactone
5
Q
When might you use eplerenone?
A
Management of HF post MI
6
Q
What do you need to monitor with eplerenone?
A
Serum Cr, eGFR, potassium
7
Q
What do patients have if they can’t tolerate ACE inhibitor or ARB?
A
isosorbide dinitrate and hydralazine
8
Q
What does digoxin improve?
A
Symptoms and exercise tolerance. Does not reduce mortality
9
Q
What should fluid overloaded patients have?
A
Thiazide or loop diuretic
