HF

Question 1

NYHA classes

Answer 1

1. No Sx with ordinary activity
2. Sx with ordinary activity
3. Sx with minimal activity
4. Sx at rest

Question 2

Narrow pulse pressure

Answer 2

CI

Question 3

Chemo drugs causing HF

Answer 3

Anthracyclines, trastuzumab

Question 4

Goals with tailored PAC in advanced HF

Answer 4

MAP>60, CI >2.2, SVR

Question 5

Inotropes in HF treatment

Answer 5

Dobutamine - vasodilation at less than 5ug/kg/min
Dopamine causing splanchnic vasodilation, but vasoconstriction at more than 5ug/kg/min
Milrinone prominent systemic and pulmonary vasodilation

Question 6

aCEI in HF indications

Answer 6

nYHA 2-4, in asymptomatic post MI and eF =40%

All shown decreased mortality

Question 7

Indications of hydralazine and nitrates

Answer 7

If cannot tolerate ACEI or ARBS
Still has mortality benefits
40% mortality reduction in blacks on standard therapy