Congestive heart failure Flashcards

1
Q

What is a simple definition for heart failure

A

When the heart cannot supply enough blood to the body

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2
Q

What is systolic heart failure

A

When the heart can’t pump hard enough

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3
Q

What is diastolic heart failure

A

When the heart can’t fill enough

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4
Q

What two heart problems often lead to congestive heart failure

A

Ischaemia and valvular disease

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5
Q

What is the formula for cardiac output involving stroke volume and heart rate

A

CO=HRxSV

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6
Q

What is the normal of percentage of blood that is pumped from the preload

A

50-70%

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7
Q

What percentage of blood pumped from preload counts for systolic heart failure

A

Less than 40%

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8
Q

What are numbers for preload, stroke volume and ejection fraction

A

SV=low, preload=low and ejection fraction=low

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9
Q

Examples of causes of systolic heart failure

A

Ischaemic heart disease, long standing hypertension, dilated cardiomyopathy

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10
Q

Most common cause of systolic heart failure

A

Ischaemic heart disease

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11
Q

Examples of causes of diastolic heart failure

A

Long standing hypertenstion, aortic stenosis, hypertrophic cardiomyopathy and restrictive cardiomyopathy

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12
Q

Is systolic or diastolic the most common heart failure

A

Systolic

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13
Q

Symptoms of left sided heart failure

A

Dyspnoea, orthopnoea and crackles.

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14
Q

What are hemosiderin-laden cells

A

Heart failure cells. Macrophages that eat up red blood cells (due to rupture) in alveoli and become brown due to iron

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15
Q

Treatment for left sided heart failure

A

ACEi and loop diuretics

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16
Q

What is cor pulmonale

A

Chronic lung disease leading to right sided heart failure

17
Q

Symptoms of right sided heart failure

A

JVP distention, hepatosplenomegaly, cardiac cirrhosis, ascites and pitting oedema (legs standing up and sacrum lying down)

18
Q

Diagnosis

A

Bloods, X-ray, ECG and echocardiogram