heart failure Flashcards
What is the definition of heart failure
A complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ventricle in filling with or ejecting blood
What is the rate of mortality of heart disease?
50% mortality rate in the first 5 years of diagnosis
What are examples of restrictive pathologies
Restrictive cardiomyopathy
Constrictive pericarditis
Tamponade
Hypertrophic cardiomyopathy
Mitral stenosis
Tricuspid stenosis
What are the pathologies of heart failure?
Restrictive filling
Pressure overload
Volume overload
Contractile impairment
Arrhythmias
What are examples of pressure overload (afterload)?
Hypertension
Aortic stenosis
Pulmonary embolism
Pulmonary hypertension
Pulmonary stenosis
What are examples of contractile impairment
Ischemia
Dilated cardiomyopathy
Myocarditis
What are examples of volume overload (preload)?
Mitral regurgitation
Aortic regurgitation
Pulmonary regurgitation
Tricuspid regurgitation
Shunts
What are 3 forms of high output heart failure?
Anemia
Hyperthyroidism
Beriberi
What is the definition of cardiomyopathy?
Disease of the heart muscle
What can cause cardiomyopathys?
Ischemia
Hypertension
Disorders that are inherited
Infections
Toxins
Myocarditis
Autoimmunities
What are the three patterns of cardiomyopathies?
Dilated
Hypertrophic
Restrictive
How does the heart respond to dilated cardiomyopathy?
Heart muscle gets larger, adds more sarcomeres
Left ventricle becomes bigger but thinner
How does the heart appear if the dilated cardiomyopathy is genetic?
The left ventricle grows rounded
Fibrous
HFrEF
What lifestyle choices can lead to dilated cardiomyopathy?
Toxins such as alcohol
How is dilated cardiomyopathy diagnosed?
Chest radiograph
Echocardiogram