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SMLE | Cardiology 🫀 > CHF > Flashcards

CHF Flashcards

1
Q

Left-sided HF present with […] edema

A

Pulmonary 🫁

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2
Q

Right-sided HF present with […] edema

A

Peripheral 🦵🏼

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3
Q

Signs of Right-sided HF

A
  • JVD
  • Hepatomegaly / Hepatojugular reflux
  • Ascites
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4
Q

Medications for CHF that lowers mortality

A

💊 ACE-i
💊 ß-blocker
💊 Spironolactone

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5
Q

What medication most effective for symptomatic relief of congestion in CHF ?

A

Diuretics

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6
Q

Drug of choice for
CHF NYHA class I

A

ACE-i/ARBs
Diuretics (loop) for symptoms

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7
Q

Drug of choice for
CHF NYHA class II

A

add ß-blocker

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8
Q

Drug of choice for
CHF NYHA class I

A

Add MRA (spironolactone)
Digoxin

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9
Q

Medications that can be used for EF<35
and are shown to improve mortality :

A

MRAs
LCZ696 (ARNI)

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10
Q

Medication that used for patient with reduced EF and HR>70 on maximally tolerated ß-blockers :

A

Ivabradine

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11
Q

Side effects of ACE-i / ARBs

A

🔸 Hypotension
🔸 HyperKalemia
🔸 Teratogenic
🔸 Cough & Angioedema (ACE-i)

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12
Q

Side effects of ARNI

A

Sacubitril/valsartan
🔸 Hpotension
🔸 HyperKalemia
🔸 Cough
🔸 Dizzness

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13
Q

Side effects of Ivabradine :

A

🔸 Luminous phenomena, visual brightness
🔸 Hypertension
🔸 Bradycardia

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14
Q

Side effects of Digoxin :

A

🔸 Blurry yellow vision
🔸 Arrhythmia / AVB / paroxismal atrial tachycardia
🔸 Cholinergic effect (N/V, diarrhea)
🔸 HyperKalemia

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15
Q

What is acute decompensated heart failure

A

Exacerbation of signs & symptoms of CHF
- Dyspnea
- Pulmonary edema
- Peripheral edema
- Ascites

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16
Q

What is the drug of choice for patient presenting with acute decompensated HF ?

A

IV diuretics
…
If not improved
BP <90/60 : add dobutamin
BP > 160/100 : add NG

17
Q

A PDE-3 inhibitor used for short-term management of decompensated HF

A

Milrinone

18
Q

CHF patient present with Hypotension
Consider […]

A

IVF
🫀» cardiogenic shock

19
Q

Digoxin toxic level […]

A

> 2

20
Q

Sensitive serologic test of CHF:

A

BNP > 100

21
Q

Diabetic medication that lowers mortality in CHF […]

A

SGLT-2

SMLE | Cardiology 🫀 (10 decks)

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