Insuficienta cardiaca Flashcards

1
Q

Contraindicatii absolute ale transplantului cardiac

A
  • cresterea rezistentelor vasculare pulmonare

- cancer activ

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2
Q

Complicatiile transplantului cardiac

A
  • rejetul grefei
  • infectii precoce sau tardive
  • vasculopatia de alogrefa
  • HTA
  • hipercolesterolemie
  • cancer
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3
Q

CRT - plasarea electrozilor

A
  • un electrod e plasat in ventriculul drept

- alt electrod plasat in sinusul coronarian pt stimularea Vs

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4
Q

Tehnici de identificare a miocardului hibernant includ:

A
  • ecocardiografia de stres

- imagistica nucleara- IRM si PET

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5
Q

Contraindicatii ale utilizarii IECA

A
  • stenoza de artera renala
  • sarcina
  • antecedente de angioedem
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6
Q

Principalele efecte adverse ale IECA:

A
  • tuse
  • hipotensiune art
  • hiperpotasemie
  • disfunctie renala
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7
Q

Digoxin indicatie

A

Fibrilatie atriala si insuficienta cardiaca

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8
Q

Ivabradina

A
  • inhibitor al canalelor If din NSA - scade selectiv frecventa cardiaca fara a influenta TA
  • se foloseste doar la pacientii in ritm sinusal
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9
Q

Ce vaccinari se recomanda in plus la pacientii du insuficienta cardiaca

A
  • pneumococica

- antigripala

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10
Q

Analize sanguine de efectuat in insuficienta cardiaca

A
  • hemograma completa, creatinina si electroliti serici, teste hepatice, troponina, BNP sau NT -proBNP, functie tiroidiana
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11
Q

Indicator de prognostic nefavorabil in IC

A

-hiponatriemia

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12
Q

Reactia endoteliala patologica in IC

A
  • activitate insuficienta a NO

- concentratie plasmatica crescuta a endotelinei

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13
Q

Efectele endotelinei:

A
  • vasoconstrictie
  • stimulare simpatica
  • activarea SRAA
  • HVS
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14
Q

Cauzele principale ale IC:

A
  • boala cardiaca ischemica (35-40%)
  • cardiomiopatie dilatativa (30-34%)
  • hipertensiunea (15-20%)
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15
Q

Chimioterapice ce pot cauza Insuficienta cardiaca

A
  • trastuzumab

- imatinib

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16
Q

Indicatorii de prognostic nefavorabil in ICA cu EPA:

A
  • cresterea presiunii capilare pulmonare blocate (>16mmHg)
  • scaderea concentratiei de sodiu seric
  • cresterea dimensiunii telediastolice a Vs la eco
  • scaderea consumului de oxigen miocardic
17
Q

Analizele de sange efectuate initial in UPU pt diagnosticul ICA:

A
  • creatinina si electroliti serici

- HLG, glicemie, enzime cardiace, proteina C reactiva si D-dimerii

18
Q

Valorile BNP si NT-pro BNP sugestive pentru IC:

A
  • BNP >100 pg /ml

- NT-pro BNP >300pg/ml

19
Q

Complicatiile dispozitivelor de asistare venticulara

A
  • tromboembolismul
  • sangerarile
  • infectiile
  • defectiunile dispozitivului
20
Q

Suportul inotrop in ICA se face cu :

A
  • dobutamina
  • inhibitori de fosfodiesteraza ( Milrinona)
  • levosimendan