Congestive Heart Failure

Question 1

CO=

Answer 1

SV x HR

Question 2

SV comprised of what?

Answer 2

contractility, preload, afterload

Question 3

MAP=

Answer 3

2/3 diastolic + 1/3 systolic

Question 4

nesiritide MOA?

Answer 4

mimic ANP ausing natiuresis

Question 5

PE of CHF?

Answer 5

S3, S4, RV heave, cheyne stokes breathing

Question 6

BNP in obesity?

Answer 6

decreased

Question 7

BNP in renal failure, elderly, sepsis?

Answer 7

increased

Question 8

cardiomems, who is it for, whats the benefit?

Answer 8

NYHA class III, reduce CHF hospitalizations, improves QOL

Question 9

Pagets disease mechanism of heart failure?

Answer 9

high output heart failure from AVM within bones

Question 10

tx for pagets disease?

Answer 10

bisphophinates

Question 11

who gets an ICD with CHF?

Answer 11

NYHA class III, EF <35%, 40 days after event

Question 12

who gets CRT/BVD in CHF?

Answer 12

EF <35%, NYHA III IV, widened QRS

Question 13

mortality improvements in CHF?

Answer 13

eplerenone, CRT, valsartan sacubitril

Question 14

valsartan sacubitril compared with ACE?

Answer 14

VS >ACE

Question 15

who gets eplerenone/aldactone?

Answer 15

aldosterone antagonist, <40% EF

Question 16

when to use mineralocorticoid antagonist (eplerenone or spironolactone) in MI?

Answer 16

mortality benefit in people post MI with CHF and EF <40%

Question 17

positive pressure effect on both preload and afterload?

Answer 17

decreases both
preload- dec venous return
afterload- dec ventricular radius

Question 18

meds best capable of remodeling LV?

Answer 18

ARB>CCB>ACE>BB

Question 19

CXR findings in CHF?

Answer 19

effusion, cardiomegaly, redistribution of blood flow to the upper lobes