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