Congestive Heart Failure Flashcards
MC hospital admission diagnosis in elderly patients
CHF
Often preceded by CARDIAC HYPERTROPHY
CHF
CHF TYPES
Left sided ❤️ failure
Right sided ❤️ failure
Biventricular ❤️ failure
High-output ❤️ failure
Maybe due to a systolic dysfunctional or diastolic dysfunction
LEFT-SIDED HEART FAILURE
Decreased ventricular contraction
SYSTOLIC DYSFUNCTION
Noncomplaint ventricle
DIASTOLIC DYSFUNCTION
Examples of DIASTOLIC DYSFUNCTION
Concentric LVH due to HPN
Restrictive cardiomyopathy
LV overload due to AR
MR
Examples of SYSTOLIC DYSFUNCTION
CAD
POST MI
MYOCARDITIS
DILATED CARDIOMYOPATHY
Normal to high EF + S4
DIASTOLIC DYSFUNCTION
Low ejection fraction
SYSTOLIC DYSFUNCTION
Dyspnea
Pulmonary edema
Hemosiderin-laden macrophages siderophages (RUST-COLORED SPUTUM)
Left sided heart failure
CXR:
Congestion in upper lobes (early finding)
Perihilar congestion (bat wing configuration$
Alveolar infiltrates
Left sided heart failure
Left sided S3
Left sided heart failure
Functional MV regurgitation due to stretching of the MV ring
Left sided heart failure
PNd: due to increase venous return and increase load to the left side of the heart
Left sided heart failure
Orthopnea
Increase BNP
Pre renal azotemia
Hypoxic encephalopathy
Left sided heart failure
Expiratory wheezing or cardiac wheezing
Peribronchiolar edema
Failure of the ❤️ to eject enough blood delivered to it by the venous system to meet the metabolic demands of the body
CHF
Decreased contraction: RV INFARCT
Right sided heart failure
Noncompliant right ventricle: RVH
Right sided heart failure
Increased afterload: LHF, PULMO HPN
Right sided heart failure
Increases preload: TV REGURG, L-R SHUNT
Right sided heart failure