CHF Flashcards
Left-sided HF present with [โฆ] edema
Pulmonary ๐ซ
Right-sided HF present with [โฆ] edema
Peripheral ๐ฆต๐ผ
Signs of Right-sided HF
- JVD
- Hepatomegaly / Hepatojugular reflux
- Ascites
Medications for CHF that lowers mortality
๐ ACE-i
๐ ร-blocker
๐ Spironolactone
What medication most effective for symptomatic relief of congestion in CHF ?
Diuretics
Drug of choice for
CHF NYHA class I
ACE-i/ARBs
Diuretics (loop) for symptoms
Drug of choice for
CHF NYHA class II
add ร-blocker
Drug of choice for
CHF NYHA class I
Add MRA (spironolactone)
Digoxin
Medications that can be used for EF<35
and are shown to improve mortality :
MRAs
LCZ696 (ARNI)
Medication that used for patient with reduced EF and HR>70 on maximally tolerated ร-blockers :
Ivabradine
Side effects of ACE-i / ARBs
๐ธ Hypotension
๐ธ HyperKalemia
๐ธ Teratogenic
๐ธ Cough & Angioedema (ACE-i)
Side effects of ARNI
Sacubitril/valsartan
๐ธ Hpotension
๐ธ HyperKalemia
๐ธ Cough
๐ธ Dizzness
Side effects of Ivabradine :
๐ธ Luminous phenomena, visual brightness
๐ธ Hypertension
๐ธ Bradycardia
Side effects of Digoxin :
๐ธ Blurry yellow vision
๐ธ Arrhythmia / AVB / paroxismal atrial tachycardia
๐ธ Cholinergic effect (N/V, diarrhea)
๐ธ HyperKalemia
What is acute decompensated heart failure
Exacerbation of signs & symptoms of CHF
- Dyspnea
- Pulmonary edema
- Peripheral edema
- Ascites
What is the drug of choice for patient presenting with acute decompensated HF ?
IV diuretics
โฆ
If not improved
BP <90/60 : add dobutamin
BP > 160/100 : add NG
A PDE-3 inhibitor used for short-term management of decompensated HF
Milrinone
CHF patient present with Hypotension
Consider [โฆ]
IVF
๐ซยป cardiogenic shock
Digoxin toxic level [โฆ]
> 2
Sensitive serologic test of CHF:
BNP > 100
Diabetic medication that lowers mortality in CHF [โฆ]
SGLT-2