Heart Failure

Question 1

LEFT sided CHF Symptoms

Answer 1

DYSPNEA predominates
Left sided S3/S4 gallop
Bilateral Basilar Rales
Pleural Effusions
Pulmonary Edema
Orthopnea, Paroxysmal Nocturnal Dyspnea

Question 2

RIGHT sided CHF symptoms

Answer 2

FLUID RETENTION
Right Sided S3/S4 gallop
JVD
Hepatojugular Reflex
Peripheral Edema
Hepatomegaly, Ascites

Question 3

HF Stage A

Answer 3

at HIGH RISK for HF

(+) CAD, HPN, DM, use of cardiotoxins, family history

Question 4

HF Stage B

Answer 4

(+) structural heart disease (-) symptoms

previous MI, LVH, asymptomatic

Question 5

HF Stage C

Answer 5

(+) structural heart disease (+) prior or current symptoms

abnormal cardiac structure with exertion dyspnea, fatigue etc

Question 6

HF Stage D

Answer 6

Refractory HF

(+) marked symptoms at rest despite optimal therapy

Question 7

Cornerstone of pharmacotherapy in HF

Answer 7

ACE and Beta Blockers

Question 8

Beta 1 specific Antagonists

Answer 8

Metoprolol

Bisoprolol

Question 9

Nonspecific beta blocker with alpha 1 receptor blocking activity

Answer 9

Carvedilol

Question 10

Used in patients who continue to be dyspneic despite using initial pharmacologic regimen

Answer 10

Sacubitril/Valsartan (Angiotensin Receptor - Neprilysin Inhibitor - ARNI)