CHF Flashcards
What are some of the clinical manifestations of CHF?
Dyspnoea
Confusion
Oedema
Nocturnal cough
What is the new york heart association classification?
Classification based on symptoms
Are diuretics used to improve symptoms or improve survival?
Improve symptoms
Diuretics are considered for patients with signs and symptoms of water retention. True or false?
True - they remove excess fluid and therefore reduce oedema and pulmonary congestion
Dehydration is a side effect of diuretics. True or false?
True
ACE inhibitors are considered for all patients who have LV systolic dysfunction. True or false?
True
ACE inhibitors reduce mortality and delay disease progression. True or false?
True
Hypokaleamia is a contraindication for use of ACE inhibitors. True or false?
False - hyperkalaemia
What are common side effects of ACE inhibitors?
Cough
Hypotension
Hyperkalaemia
Angiotensin II antagonists are used as an alternative to what other group of medicines? They are an alternative way of blocking RAAS
ACE inhibitors
Asthma is a contraindication for which group of medicines used in CHF?
Beta blockers
Beta blockers should be used in addition to diuretics and ACE inhibitors. True or false?
True
Tachycardia is a contraindication for use of Beta blockers. True or false?
False - bradycardia is
Why is acute heart failure a contraindication for use of B blockers?
Because when you first start B blockers, your symptoms worsen before improving
When is digoxin used in CHF?
If CHF is secondary to AF
Spironolactone is considered for patients with moderate to severe heart failure if they are still symptomatic despite taking ACEI, digoxin, diuretics. What class is this in NYHA?
III-IV
What class of heart failure in NYHA is Ivabradine used for?
Mild to sever (class II-IV) - used in combination with a B-blocker
Which drugs should be avoided in CHF?
Class I antidysrhythmics - e.g. lidocaine, flecainide
NSAIDs - ibuprofen, diclofenac
Negative inotropics CCB e.g. diltiazem, verapamil
What is meant by class I NYHA system?
Asymptomatic
