Heart Failure Flashcards

1
Q

4 classes

NYHA classification for HF

A

NYHA I: No Sx
NYHA II: Slight Sx w/ ordinary ADLs
NYHA III: Sx w/ less than usual ADLs
NYHA IV: Sx at Rest

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2
Q

3 stages

LVEF staging

A

LVEF >50%: Preserved EF
LVEF 40-50%: Mildly reduced EF
LVEF <40%: Reduced EF

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3
Q

EF formula

A

EF = (EDV-ESV/EDV) x 100

EF = (SV/EDV) x 100

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4
Q

3 stages

NT-pro-BNP for TTE criteria

A

BNP >2000: TTE within 2/52
BNP >400: TTE within 6/52
BNP <400: HF unlikely

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5
Q

HF gold standard imaging

A

Cardiac MRI

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6
Q

R sided HF Sx

A
  1. Raised JVP
  2. Pulmonary oedema
  3. Ascites
  4. Hepatomegaly
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7
Q

L sided HF Sx

A
  1. Pulsus alternans on ECG (alternating strong and weak QRS)
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8
Q

HFrEF Mx

A
  • ACE-i
  • Beta-blocker (BCN)
  • MRA (Spironolactone)
  • SGLT-2-i (Dapa,Empa)
  • Loop diurectics for Fluid overload
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9
Q

HFpEF Mx

A
  • Dapa/Empa
  • Anti PLT
  • Atorvastatin
  • Loop diurectic for Fluid overload
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