Chapter 2 BNF (Heart Failure) Flashcards
1
Q
Heart Failure symptoms?
A
Dyspnoea (SOB)
Exercise intolerance
Oedema (Pulmonary and peripheral
2
Q
First line in Heart Failure?
A
ACEi/ARB + Beta Blocker
ARB - Candersartan, Valsartan
ACE - Nebivolol, Bisoprolol, Carvedilol
Alternative - Hydralazine + Isosorbide dinitrate
3
Q
Second line in heart failure?
A
Spironolactone
Eplerenone after acute MI with LVSD or mild HF
Alternative:
Hydralazine + Isosorbide dinitrate (africans)
ARB
Sacubutril Valsartan (LVEF <35%) and if ace dose is stable
4
Q
Third line in heart failure?
A
Ivabradine (sinus rythym and heart rate above 75bpm)
or
Digoxin - doesn’t reduce mortality
5
Q
How is fluid overload managed in HF?
A
Loop diuretics
Thiazides (except in egfr below 30)