CHF Flashcards
Stage A
with risk factor but no heart failure
ARB’s (130/80) /Stain
B
reduced EF
BB, Buzz em (<35% - ICD), mineralo (< 35%)
C
EF with symptoms
curtail edema (diuretics)
combo pill - hydralazaine/iso if cannot tolerate ARB
CRT (EF low and long qTC)
mass voltage discrepancy on echo/ekg
infiltrative cardiomyopathy
- low voltage but high mass
flash pulmonary edema with normal EF
bilataral renal stenosis (elevated Cr. and risk factors)
most sensitive sign of cardiac tamponade
right atrial diastolic collapse
right ventricular dilation with and free wall hypokinesia with sparing of the apex
mconnel sign
pE
prominent x and y descents
constrictive pericarditis
timing of ICD/CRT
40 days after MI if no revasc.
3 months after goal directed therapy
size of vegetation for surgery
> 10 mm in the setting of prior embolization.
what medication can be added to reduce amlodipine related swelling
ACE/ARB not diuretic (swelling not related to Na/Water issues)
hypertension with gout, drug of choice
losartan + CCB
aldosterone antag should be avoided in
Cr< 30 and K > 5.
BP Tx in pregnancy
> 160/110 or evidence of end organ
CT chest for smoking
annual low dose CT 55-80 with > 30 pack year history (or quit within last 15 years)
