Outcomes/epi

Question 1

4 performance measurements

Answer 1

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

Question 2

What Pm make a difference in outcomes?

Answer 2

Ace inhibitos and beta blockers

Question 3

Evidence based interventions to reduce 30 d rehospitalizations

Answer 3

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

Question 4

What are results of early follow up after discharge

Answer 4

Decrease 30 day readmission

Question 5

Serial measurements of bnp reccomendation

Answer 5

2b

Question 6

How often is troponin elevated in HF

Answer 6

24%

Greater than .2 associated with high mortality

Question 7

What does galactin predict

Answer 7

Negative remodeling

St2 prevents hypertrophic and fibrosis

Question 8

What is the mortality associated with stage a heart failure

Answer 8

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

Question 9

Risk factors for heart failure

Answer 9

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

Question 10

What percent of HF is stage b

Answer 10

35%

Question 11

Jnc goals

Answer 11

<140/90

If diabetic 130/80

Question 12

Htn treatment in elderly

Answer 12

Reduces mortality, HF and stroke risk

Question 13

Goal of treatment of dm in HF patients

Answer 13

Hgb a 1c 7%

Question 14

What stage a patients should go on ace

Answer 14

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

Question 15

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

Answer 15

all of them, doesn’t matter

Question 16

Effects of beta blockers on peak oxygen consumption

Answer 16

Goes down

Question 17

What are hfss scores/risks

Answer 17

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

High risk > 8

Question 18

Minnesota living with HF

Kccq

Answer 18

Mlhfq the higher the score the worse

The kccq from worst to best.

Question 19

Rough estimate of incidence of heart failure

Answer 19

.5 percent

Question 20

Lifetime risk of HF at age 40

Answer 20

1/9 men

1/6 women

Question 21

Prevalence of heart failure in Medicare benefit

Answer 21

12 %

Question 22

Risk of developing overt HF in Solvd?

Answer 22

10% Annually

Question 23

Prevalence of stage b HF ( percent of total)

Answer 23

35%

Question 24

How many people in the us have heart feature

Answer 24

5.8 million

Question 25

What chronic diseases impact incidence of heart failure?

Answer 25

Diabetes, metabolic syndrome

Question 26

Micro vascular macro

Answer 26

Tight glycemic control only affects micro

Question 27

Hope

Answer 27

ace inhibitor vs placebo
Vascular disease or dm and a cardiac risk factor
23 percent arr, 2% rrr

Question 28

What are best enpoints

Answer 28

Outcomes> symptoms> surrogates

Question 29

Difference in v waves in ra vs wedge tracing

Answer 29

V waves in tp in rap

Closer to p wave in wedge

Question 30

Ra tracing in restrict/constrict

Answer 30

M or w pattern.

Question 31

Bio markers that predict mortality

Answer 31

Cro, Uric acid, sodium, rdw, creatinine, cystatin, bnp