L11: Congestive Heart Failure Flashcards

1
Q

Def of Congestive HF

A
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2
Q

Etiology of Congestive HF

A

Etiologies cause HF through:

  1. Volume overload
  2. Pressure overload
  3. Myocardial insufficiency

Etiologies Include:

  1. Congenital Heart Defects
  2. Acquired Heart Defects
  3. Misc. Heart Defects
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3
Q

Etiology of Congestive HF

  • Congenital Heart Defects
A
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4
Q

Congenital Heart Defects Causing Congestive HF

  • Neonatal Period
A
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5
Q

Congenital Heart Defects Causing Congestive HF
- Lt to Rt Shunt

A
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6
Q

Congenital Heart Defects Causing Congestive HF

  • ASD
A

Rarely causes CHF in pediatrics (although it causes (HF in adulthood)

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7
Q

Congenital Heart Defects Causing Congestive HF

  • TOF
A
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8
Q

Acquired Heart Defects Causing Congestive HF

A
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9
Q

Acquired Heart Defects Causing Congestive HF

  • Metabolic Abnormalities
A
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10
Q

Acquired Heart Defects Causing Congestive HF

  • Endocardial fibroelastosis
A
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11
Q

Acquired Heart Defects Causing Congestive HF

  • Viral Myocarditis
A
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12
Q

Acquired Heart Defects Causing Congestive HF

  • Acute Rheumatic Carditis
A

occasional cause of CHF (occurs primarily in school children)

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13
Q

Acquired Heart Defects Causing Congestive HF

  • rheumatic Valvular Heart Diseases
A
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14
Q

Acquired Heart Defects Causing Congestive HF

  • Cardiomyopathy
A
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15
Q

Acquired Heart Defects Causing Congestive HF

  • dialated Cardiomyopathy
A

The most common cause of CHF beyond infancy.

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16
Q

Acquired Heart Defects Causing Congestive HF

  • cardiomyopathies with dystophy & Fr. Ataxia
A

May cause CHF in older children and adolescents.

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17
Q

Acquired Heart Defects Causing Congestive HF

  • Kawaski Disease
A

Cause CHF due to myocarditis in children 1 - 5 y

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18
Q

Miscellaneous Heart Defects Causing Congestive HF

A
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19
Q

Miscellaneous Heart Defects Causing Congestive HF

  • Bronchopulmonary Dysplasia
A
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20
Q

Miscellaneous Heart Defects Causing Congestive HF

  • complete Heart Block
A
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21
Q

Miscellaneous Heart Defects Causing Congestive HF

  • SVT
A

Causes CHF in early infancy

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22
Q

Miscellaneous Heart Defects Causing Congestive HF

  • Acute Cor-Adenionale
A
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23
Q

Miscellaneous Heart Defects Causing Congestive HF

  • Cor-Pulmonale
A

Cause Rt-sided HF in chronic pulmonary diseases

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24
Q

Miscellaneous Heart Defects Causing Congestive HF

  • acute Systemic HTN
25
Q

Miscellaneous Heart Defects Causing Congestive HF

  • ENDOCRINOPATHY
A

Hyperthyroidism

26
Q

Miscellaneous Heart Defects Causing Congestive HF

  • Severe Anemia
27
Q

Dx of Congestive HF

  • basics
28
Q

CP of Congestive HF

29
Q

Symptoms in Congestive HF

30
Q

Symptoms in Congestive HF

  • Infants
31
Q

Symptoms in Congestive HF

  • Older Children
32
Q

Signs in Congestive HF

33
Q

Signs in Congestive HF

  • compensatory Responses
34
Q

Signs in Congestive HF

  • Pulmonary Venous Congestion
35
Q

Signs in Congestive HF

  • Systemic Venous Congestion
36
Q

Systemic Venous Congestion in Congestive HF

  • Hepatomegaly
37
Q

Systemic Venous Congestion in Congestive HF

  • Puffy Eyelids
A

Common in infants

38
Q

Systemic Venous Congestion in Congestive HF

  • Neck Veins & Ankle Edema
A
  • They are not seen in infants.
  • They are common in elder children
39
Q

Systemic Venous Congestion in Congestive HF

  • Splenomegaly
A

Not indicative of chronic CHF; it usually indicates infection

40
Q

INVx in Congestive HF

41
Q

INVx in Congestive HF

  • Chest X-Ray
42
Q

INVx in Congestive HF

  • ECG
A
  • It is helpful to suggest thetiologybut not in diagnosing CHF
  • It helps in diagnosis of arrhythmias either tachy/brady arrhythmia
43
Q

INVx in Congestive HF

  • ECHO
44
Q

INVx in Congestive HF

  • Cardiac Cathetirization
45
Q

INVx in Congestive HF

  • Plasma Levels of NPs
A

ANP and BNP are Increased in HF

46
Q

Causes of Congestive Heart Failure in Neonates

47
Q

Causes of Congestive Heart Failure in Infancy

48
Q

Causes of Congestive Heart Failure in Childhood

49
Q

Causes of Congestive Heart Failure in Adolesence