Diagnosis Flashcards
What is the first step you would do in the diagnosis of HF?
Chest examination
What is the second step you would do in the diagnosis of HF?
Measure NT-proBNP
What would you do after NT-proBNP was measured?
400-2,000ng/L
- Echocardiography within 6 weeks
> 2,000ng/L
- Echocardiography within 2 weeks
What can cause reduced BNP levels?
- Obesity
- African or African-Caribbean origin
- Diuretics
- ACEi
- Beta-blockers
- ARBs
- MRAs
What can cause increased BNP levels?
- LVH
- Ischaemia
- Tachycardia
- RV overload
- Hypoxaemia
- Renal dysfunction
- Sepsis
- COPD
- DM
- Liver cirrhosis
What other investigations would you order for HF?
- ECG
- CXR
- Bloods
U+Es
Troponins
TFTs
LTFs
Lipid profile
HbA1C
FBC - Urinalysis
- Peak flow and spirometry
What information would an echocardiography show?
- Ejection fraction
- Assesses valves
- Identifies previous MI
- Provides information relating to cardiac chamber size
What is the NYHA classification stage I?
No limitation of physical activity.
What is the NYHA classification stage II?
Ordinary physical activity results in fatigue, palpitations and dyspnoea
What is the NYHA classification stage III?
Less than ordinary physical activity results in fatigue, palpitations and dyspnoea
What is the NYHA classification stage IV?
Symptoms of HF at rest
