HIGH YIELD I

Question 1

internal cardioverter defibrillators indications?

secondary indications?***

Answer 1

primary prevention of sudden cardiac death if LVEF with NYHA class II or III symptoms

> 40 days post MI and with LVEF <30% and NYHA class I symptoms

***survivors of cardiac arrest, patients with sustained ventricular arrhythmias, irrespective of LVEF

Question 2

what is this, HFrEF or HFpEF?

abnormal ventricular filing
stiffened heart during diastole

symptoms of HF
elevated pulmonary artery pressures
LVEF>50%

dyspnea, exertion chest pain, fatigue, JVD, rales, peripheral edema

Answer 2

HFpEF

Question 3

how do we diagnose HFpEF?

Answer 3

elevated NP levels

*normal BNP level does not exclude the diagnosis of HFpEF, but usually higher and used to differentiate HFrER from HFpEF

Question 4

HFpEF non pharmacologic management?

Answer 4

exercise and weight loss

Question 5

standard management of HFpEF for CAD?

Answer 5

CAD occurs in 1/2 to 2/3 of patients with HFpEF

BBs
CCBs
nitrates
statins

Question 6

what do we use for controlling hypertension in the management of HFpEF?

fluid overload?

Answer 6

ace inhibitors or ARBs
beta blockers
MRAs

diuretics