Heart Failure

Question 1

Left sided HF causes >?

Answer 1

1. Ischemia = dec O2 = Damage myocardium = myocardium cannot function properly
2. HTN= CONCENTRIC left ventricular hypertrophy = cannot oxygenated = ischemic damage
3. Dialted cardiomyopathy = 4 chamber dilation = cannot contract strecth muscle
4. MI
5. Restrictive cardiomyopathy = Cannot fill heart properly

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Question 2

Cause of Right HF >?

Answer 2

By Left HF
Left To Right Shunt
Chronic lung disease = Cor pulmonale

Question 2

Tx of Left HF ?

Answer 2

ACEi

Question 2

HF cells in LeftHF ?

Answer 2

Small congested capillaries burst
=intraalveolar hemorrhage
=hemosiderin laden macrophage
=HF cells

Question 3

Clinical features of LeftHF ?

Answer 3

1. Pulmonary congestion = Pulmonary edema
2. Dyspnea
3. Paroxymal nocturnal dyspnea = dec Venous retrun
4. Orthpnea
5. Crackles

Question 3

Clinical features of Right HF ?

Answer 3

1. Congestion
2. Nutmeg liver
3. Hepatosplenomegaly
4. Jugular venous distension
5. Pitting edema = inc Hydrostatic pressure

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