Heart failure Def. Flashcards

1
Q

what is Heart failure?

A

failure of the ventricle to eject blood efficiently (ventricles are contracting)

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2
Q

what results in HF?

A

fluid volume overloads, chamber dilation (chambers get bigger), elevated intracardiac pressure

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3
Q

what occurs to CO in HF pt?

A

CO is insufficient

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4
Q

manifestations for HF are?

A

dyspnea, fatigue, fluid retention, pulmonary edema

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5
Q

what is the survival rate of HF?

A

5 years

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6
Q

Left heart failure is called?

A

CHF (congestive heart failure)

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7
Q

right sided heart failure called>

A

Cor pulmonale

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8
Q

eventually each L or R sided HF becomes?

A

both L and right

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9
Q

HF with reduced ejection factor?

A

HFrEF (Heart failure with reduced ejection factor)
(dilated heart)

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10
Q

what is the cause of dysfunction for Systolic HF?

A

heart can’t pump right

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11
Q

HFpEF (heart failure with preseved ejection factor) is?

A

HF with preserved ejection fraction
-Diastolic

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12
Q

what is the cause of dysfunction for HRpEF

A

heart can’t fill correctly (SWOLLEN heart-hypertrophy)

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13
Q

what lab shows HF progress

A

beta natriuretic peptide (1-200) (released in RA of heart)

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14
Q

beta natriuretic peptide does?

A

-relaxes blood vessels (lowers bp)
-gets rid of Na+ and H2O

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15
Q

treatment for HF?

A

replacement

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16
Q

why do people get HF?

A

Myocardial deficiency (wack contraction)
-increased workload (pressure overload)
-inadequate filling (diastolic)
-volume overload

17
Q

examples of myocardial deficiency?

A

MI, CAD, cardiomyopathy (heart swells)

18
Q

examples of inadequate filling

A

Atrial fibrillation, infection, tamponade (blood around the heart),

19
Q

example of increased workload?

A

pulmonary hypertension?

20
Q

volume overload example?

A

Hypervolemia (too much fluid in blood), anemia

21
Q

left ventricular (left side) HF leads to?

A

pulmonary edema, coughing, SOB, dyspnea

22
Q

Right ventricular HF invovles?

A

systemic cenous congestion, pedal edema, jugular venous distension, ascites (fluid in stomach)

23
Q

what is systolic dysfunction?

A

-inadequate ventricular contraction during pumping of the heart

24
Q

inotropic

A

+ contraction of heart

25
chronictropic +
increases HR
26
+ dromotropic
accelerates heart conduction
27
diastolic dysfunction is?
inadequate ventricular filling during ventricular relaxation
28
ventricle makes the?
pulse!
29