Heart Failure

Question 1

Fill

Answer 1

Diastolic dysfunction

Question 2

Eject

Answer 2

Systolic dysfunction

Question 3

Definition of Heart Failure?

Answer 3

ACC/AHA defines heart failure as “a complex clinical syndrome that can result from any structural* or functional* cardiac disorder that impairs the ability of the ventricle to fill with or eject blood

Question 4

Which side of the heart has the failure?

Answer 4

Left Sided: Includes

Diastolic Dysfunction
Systolic Dysfunction

Question 5

Description of Systolic Dysfunction?

Answer 5

ECHO: EF < 40%**

Decrease contractility

Question 6

Causes of Systolic Dysfunction?

Answer 6

CAD

Question 7

Description of Diastolic Dysfunction?

Answer 7

Restriction in filling

ECHO: EF preserved

Question 8

Causes of Diastolic Dysfunction?

Answer 8

↑ ventricular stiffness

Question 9

Goals of Heart failure therapy?

Answer 9

Block the compensatory neurohormonal activation caused by ↓ CO

↑ CO, ↓ afterload, and ↓ preload

Slow progression of cardiac dysfunction

Improve quality of life, ↓ hospitalizations

Decrease mortality/prevent premature death