Outcomes/epi Flashcards

1
Q

4 performance measurements

A

Lvef documentation, ace/arb, dc instructions, smoking cessation

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2
Q

What Pm make a difference in outcomes?

A

Ace inhibitos and beta blockers

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3
Q

Evidence based interventions to reduce 30 d rehospitalizations

A

Education, discharge med programs, discharge planning, appointments, home visits

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4
Q

What are results of early follow up after discharge

A

Decrease 30 day readmission

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5
Q

Serial measurements of bnp reccomendation

A

2b

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6
Q

How often is troponin elevated in HF

A

24%

Greater than .2 associated with high mortality

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7
Q

What does galactin predict

A

Negative remodeling

St2 prevents hypertrophic and fibrosis

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8
Q

What is the mortality associated with stage a heart failure

A

5% per year. Half of symptomatic HF but 5x Normals

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9
Q

Risk factors for heart failure

A

Biggest risk: hypertension (>140) and myocardial infarction.
Diabetes biggest risk for women

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10
Q

What percent of HF is stage b

A

35%

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11
Q

Jnc goals

A

<140/90

If diabetic 130/80

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12
Q

Htn treatment in elderly

A

Reduces mortality, HF and stroke risk

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13
Q

Goal of treatment of dm in HF patients

A

Hgb a 1c 7%

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14
Q

What stage a patients should go on ace

A

Diabetics plus cardiac risk factor, vascular disease, creatinine less than 2.4

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15
Q

Cad pvd or dm. Who should get statin. What LDL

A

all of them, doesn’t matter

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16
Q

Effects of beta blockers on peak oxygen consumption

17
Q

What are hfss scores/risks

A

Ischemic, lv ef, mean Bo, vo2, ivcd, sodium, resting hr

High risk > 8

18
Q

Minnesota living with HF

Kccq

A

Mlhfq the higher the score the worse

The kccq from worst to best.

19
Q

Rough estimate of incidence of heart failure

A

.5 percent

20
Q

Lifetime risk of HF at age 40

A

1/9 men

1/6 women

21
Q

Prevalence of heart failure in Medicare benefit

22
Q

Risk of developing overt HF in Solvd?

A

10% Annually

23
Q

Prevalence of stage b HF ( percent of total)

24
Q

How many people in the us have heart feature

A

5.8 million

25
What chronic diseases impact incidence of heart failure?
Diabetes, metabolic syndrome
26
Micro vascular macro
Tight glycemic control only affects micro
27
Hope
ace inhibitor vs placebo Vascular disease or dm and a cardiac risk factor 23 percent arr, 2% rrr
28
What are best enpoints
Outcomes> symptoms> surrogates
29
Difference in v waves in ra vs wedge tracing
V waves in tp in rap | Closer to p wave in wedge
30
Ra tracing in restrict/constrict
M or w pattern.
31
Bio markers that predict mortality
Cro, Uric acid, sodium, rdw, creatinine, cystatin, bnp