L11: Congestive Heart Failure Flashcards
Def of Congestive HF
Etiology of Congestive HF
Etiologies cause HF through:
- Volume overload
- Pressure overload
- Myocardial insufficiency
Etiologies Include:
- Congenital Heart Defects
- Acquired Heart Defects
- Misc. Heart Defects
Etiology of Congestive HF
- Congenital Heart Defects
Congenital Heart Defects Causing Congestive HF
- Neonatal Period
Congenital Heart Defects Causing Congestive HF
- Lt to Rt Shunt
Congenital Heart Defects Causing Congestive HF
- ASD
Rarely causes CHF in pediatrics (although it causes (HF in adulthood)
Congenital Heart Defects Causing Congestive HF
- TOF
Acquired Heart Defects Causing Congestive HF
Acquired Heart Defects Causing Congestive HF
- Metabolic Abnormalities
Acquired Heart Defects Causing Congestive HF
- Endocardial fibroelastosis
Acquired Heart Defects Causing Congestive HF
- Viral Myocarditis
Acquired Heart Defects Causing Congestive HF
- Acute Rheumatic Carditis
occasional cause of CHF (occurs primarily in school children)
Acquired Heart Defects Causing Congestive HF
- rheumatic Valvular Heart Diseases
Acquired Heart Defects Causing Congestive HF
- Cardiomyopathy
Acquired Heart Defects Causing Congestive HF
- dialated Cardiomyopathy
The most common cause of CHF beyond infancy.
Acquired Heart Defects Causing Congestive HF
- cardiomyopathies with dystophy & Fr. Ataxia
May cause CHF in older children and adolescents.
Acquired Heart Defects Causing Congestive HF
- Kawaski Disease
Cause CHF due to myocarditis in children 1 - 5 y
Miscellaneous Heart Defects Causing Congestive HF
Miscellaneous Heart Defects Causing Congestive HF
- Bronchopulmonary Dysplasia
Miscellaneous Heart Defects Causing Congestive HF
- complete Heart Block
Miscellaneous Heart Defects Causing Congestive HF
- SVT
Causes CHF in early infancy
Miscellaneous Heart Defects Causing Congestive HF
- Acute Cor-Adenionale
Miscellaneous Heart Defects Causing Congestive HF
- Cor-Pulmonale
Cause Rt-sided HF in chronic pulmonary diseases
Miscellaneous Heart Defects Causing Congestive HF
- acute Systemic HTN
Miscellaneous Heart Defects Causing Congestive HF
- ENDOCRINOPATHY
Hyperthyroidism
Miscellaneous Heart Defects Causing Congestive HF
- Severe Anemia
Dx of Congestive HF
- basics
CP of Congestive HF
Symptoms in Congestive HF
Symptoms in Congestive HF
- Infants
Symptoms in Congestive HF
- Older Children
Signs in Congestive HF
Signs in Congestive HF
- compensatory Responses
Signs in Congestive HF
- Pulmonary Venous Congestion
Signs in Congestive HF
- Systemic Venous Congestion
Systemic Venous Congestion in Congestive HF
- Hepatomegaly
Systemic Venous Congestion in Congestive HF
- Puffy Eyelids
Common in infants
Systemic Venous Congestion in Congestive HF
- Neck Veins & Ankle Edema
- They are not seen in infants.
- They are common in elder children
Systemic Venous Congestion in Congestive HF
- Splenomegaly
Not indicative of chronic CHF; it usually indicates infection
INVx in Congestive HF
INVx in Congestive HF
- Chest X-Ray
INVx in Congestive HF
- ECG
- It is helpful to suggest thetiologybut not in diagnosing CHF
- It helps in diagnosis of arrhythmias either tachy/brady arrhythmia
INVx in Congestive HF
- ECHO
INVx in Congestive HF
- Cardiac Cathetirization
INVx in Congestive HF
- Plasma Levels of NPs
ANP and BNP are Increased in HF
Causes of Congestive Heart Failure in Neonates
Causes of Congestive Heart Failure in Infancy
Causes of Congestive Heart Failure in Childhood
Causes of Congestive Heart Failure in Adolesence