MHD - Lec #4 - Congestive Heart Failure

Question 1

Chronic pressure overload results in what type of ventricular hypertrophy?

Chronic volume overload?

Answer 1

1. CONCENTRIC

2. ECCENTRIC

Question 2

The following are signs of LEFT or RIGHT sided HF?

1. diaphoresis
2. tachycardia
3. Tachypnea
4. Pulmonary rales
5. S3 gallop (systolic dysfunction)
6. S4 gallop (diastolic dysfunction)

Answer 2

LEFT SIDED

Question 3

The following are signs of LEFT or RIGHT sided HF?

1. JVD
2. Hepatomegaly
3. Peripheral edema

Answer 3

RIGHT SIDED CHF

Question 4

When is an S3 gallop heard? S4 gallop?

Answer 4

S3 = in systolic dysfunction

S4 = diastolic dysfunction

Question 5

What are disorders of decreased contractility

Answer 5

1. Myocardial Infarction/Ischemic Cardiomyopathy
2. CHronic Mitral Regurg
3. Dilated cardiomyopathy

Question 6

What are Disorders of Markedly Increased Afterload

Answer 6

Severe Aortic Stenosis

Uncontrolled Hypertension

Question 7

Disorders with Impaired Ventricular Relaxation/Decreased Filling

Answer 7

• Restrictive Cardiomyopathy
• Acquired or Familial Hypertrophic Cardiomyopathy
• Constrictive Pericarditis