heart Failure

Question 1

Types of heart failure

Answer 1

Heart failure with reduced ejection fraction <40%

Heart failure with preserved ejection fractiom >50%

Acute decompensated heart failure

Question 2

Ejection fraction is

Answer 2

End diastolic volume-end systolic volume/end diastolic volume

Question 3

Four types of acute decompensated heart failure

Answer 3

Mild to moderate
Hypertensive ADHF
acute pulmonary edema
Cardiogenic shock

Question 4

Heart failure with reduced ef in layman language

Answer 4

Systolic heart failure

Question 5

Define heart failure

Answer 5

Complex clinical sx resulting from structural or functional impairment or ventriculae filling or ejection of blood

Question 6

Stages of heart failure

Answer 6

Stage A - No structural cardiac impairment / no symptoms

Stage B-nonsymptoms/structural impairment

Stage C-Symptomatic/structural impairment

StageD- refractory heart failure

Question 7

NYHA class bases symptoms

Answer 7

Class1-no symptoms/no limitation of ordinary activity

Class2- ordinary physical activity results in mild symptoms

Class3- marked limitation of physical activity

Class 4-severe limitation( dyspnic at rest)

Question 8

Cause for HF Reduced EF

Answer 8

Coronary heart disease (70%)

Non ischemic dilated cardiomyopathy

COPD/Cor pulmonale

Valvular heart disease (chronic pressure/ volume overload)

Chronic tachy and brady arrhythmias

Question 9

HF with preserved ejection fraction

Answer 9

Hypertension

Restrictive cardiomyopathy

Chronic constrictive pericarditis

Hypertrophic cardiomathy

Question 10

In systolic failure

Answer 10

LV»RV

Question 11

Heart that cannot contract adequately will also have

Answer 11

Relaxing problem

Systolic issue will have diastolic issue

Question 12

Diastolic issue can be pure without

Answer 12

Systolic issue

Question 13

Filling issues maximum in

Answer 13

Right&raquo_space;left

Question 14

Heart failure with preserved ejection fraction common in

Answer 14

Obesity
Elderly females
Obstructive sleep apnea
Anemia
CKD
Atrial fibrillation

Question 15

The risk factorequally associated with REF and PEF

Answer 15

diabetes

Question 16

Any patient with REF & PEF

Answer 16

decomponsate
(Acute decompensated heart failure)
80% ADHF

Question 17

Factors precipitating ADHF / pulmonary edema

Answer 17

discontinuation of drugs

Myocardial ischemia or acute coronary sx

Anaemia

Infection

Excessive fluid or renal failure

Arrythmia(atrial fibrillation)

Thyroid disorder