Congestive heart Failure Flashcards
How can you differentiate btw systolic and diastolic CHF?
Transthoracic Echo
Whats Difference btw systolic and diastolic dysfunction?
Systolic= Dec. E.F & dilation of the heart
Diastolic= Unchanged E.F & Normal E.F
Most common cause of Systolic CHF?
Hypertension(as it leads to cardiomyopathy)
What are some common causes of CHF?
Infarction (MI)
Cardiomyopathy
Valve Disease
With what symptoms patient will present to you?
1) Dyspnea (most common)
2) Orthopnea
3) peripheral edema
4) Rales on Lung examination
5) PND
6) Jugulovenous Distension
Is dysnea
A) sudden onset and lungs are clear
B) sudden onset with wheezing
C) slower onset with fever & sputum
A) Pulmonary Embolism
B) Asthma
C) Pneumonia
Diagnostic Test
A) Most common/
B) most accurate
A) Echo
B) Nuclear Ventriculogram
Is CHF Is diagnosed how will you exclude
These causes of CHF?
A) MI Or Heartblock
B) Dilated Cardiomyopathy
C) infection/inflammation
A) ECG
B) CXR
C) Endomyocardial Biopsy
First Choice Drug in CHF
ACEi (if can’t than ARB)
Can you use ACEi with ARB?
Never
What is most common cause of death in CHF?
Ischemia mediated sudden Arrthymia
Role of digoxin in treatment of CHF?
Controls Dyspnea but doesn’t lower the mortality
Spiranlactone contribution?
It’s a diuretic but it’s not used as a diuretic rather than it’s used in doses to act as an Aldosterone inhibiter
Poor prognostic factor in CHF?
Hypotension + Tachycardia at rest
Hyponatremia+ Elevated BNP
Why we use Biventricular pacemaker in the management of CHF?
Because No.1 cause of death in CHF is Sudden Arrthymia
