Heart Failure Flashcards

1
Q

Leading cause of heart failure in adults

A

Coronary artery disease

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2
Q

Leading cause of heart failure in children

A

Congenital heart disease

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3
Q

Define preload

A

Chamber stretch prior to contraction

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4
Q

Define afterload

A

The resistance that has to be overcome to allow for ejection

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5
Q

Define heart rate

A

Diastolic filling and atrial kick

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6
Q

Frank-Starling Law

A

Increased preload causes increased stretch of cardiac muscle fibers, thereby increasing the force of contraction and increased stroke volume

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7
Q

Define heart failure

A

Decreased pumping or filling ability of the heart, resulting in decreased cardiac output

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8
Q

Identify 3 physiological characteristics of heart failure

A

1) Blood/ fluids back up into lungs; 2) Pressure on the heart increases; and 3) Heart muscle is weakened, stiff

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9
Q

What is the most common cause of right heart failure?

A

Left heart failure

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10
Q

Which is more common - left or right heart failure?

A

Left heart failure

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11
Q

T/F: most heart failure ends up involving both ventricles

A

True

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12
Q

Jugular vein distention, peripheral edema, liver/ spleen enlargement, ascites, GI venous congestion, continued fatigue/ weakness - these are signs/ symptoms of what disease?

A

Right heart failure

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13
Q

Exertional/ nocturnal dyspnea, blood-tinged sputum, orthopnea, cough, cyanosis, rales/ crackles, fatigue, S3 gallop, oliguria - these are signs/ symptoms of what disease?

A

Left heart failure

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14
Q

In systolic heart failure, ___ ventricle pumping is impaired, and blood backs up into the ___ atria.

A

Left, left

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15
Q

In systolic heart failure, increased hydrostatic pressure in the pulmonary vascular bed causes accumulation of fluid in ___ and ___ spaces, leading to ___ congestion.

A

Interstitial, alveolar, pulmonary

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16
Q

In diastolic heart failure, we see decreased compliance of the ___ ventricle and abnormal diastolic ___.

A

Left, relaxation

17
Q

Twi clinical manifestations of diastolic heart failure

A

Dyspnea on exertion; fatigue

18
Q

What is pulmonary edema?

A

Excess capillary fluid in the alveoli of the lungs

19
Q

What does the acronym FACES stand for?

A

Fatigue, Activities [impaired], Chest [congestion], Edema, Shortness [of breath].

20
Q

Name 5 characteristics of pulmonary edema

A

1) Stiff lungs, 2) Difficult inhalation, 3) Less gas exchange in alveoli, 4) crackles, and 5) Frothy pink sputum