HTN/HF Flashcards
What are DDx for HTN + SOB
CHF Renal failure PE/DVT Liver dz A. fib.
When may BNP be diagnostic? otherwise what is it used for?
When a pt has a new onset of SOB Used as a prognosis tool
What imaging is recommended in a pt who presents with CHF?
- CXR if new onset, or acute 2. ECHO for inital eval 3. EF in pts with change in clinical status or had tx that may affect cardiac function
What may a CXR of a pt with CHF show?
B/l basal congestion Pleural effusion Cardiomegaly hilar congestion
Describe Systolic Dysfunction
HF w/ decreased or impaired EF (HFrEF) < 40 %
Describe Diastolic Dysfunction
Diastolic HF w/ normal or preserved EF (HFpEF) > 50 %
How is stage A HF described by the ACFF/AHA?
High risk for HF w/o structural heart dz or sx
How is stage B HF described by the ACFF/AHA?
Structural heart dz w/o s/s of HF
How is stage C HF described by the ACFF/AHA?
Structural heart dz w/ prior or current sx of HF.
How is stage D HF described by the ACFF/AHA?
Refractory HF requiring specialized interventions
How is class I HF described by the NYHA
(Mild): No limitations, asymptomatic
How is class II HF described by the NYHA
(Mild): Slight limitation w/ physical activity, sx w/ ordinary activities, comfortable at rest
How is class III HF described by the NYHA
(Moderate): Marked limitation; symptomatic with less than ordinary activities, comfortable at rest
How is class IV HF described by the NYHA
Unable to carry on any physical activity w/ sxs, sx at rest
Stage C is usually associated with class __ and ___ from the NYHA
2, 3
