Pharmacotherapy for Heart Failrue

Question 1

What is Stage A heart failure?

Answer 1

High risk patients with:
Hypertension
CAD
Diabetes mellitus
Family history of cardiomyopathy

Question 2

What is Stage B heart failure?

Answer 2

Asymptomatic HF
PRevious MI
LV systolic dysfunction
Asymptomatic valvular disease

Question 3

What is Stage C heart failure?

Answer 3

Symptomatic HF
Known structural heart disease
Shortness of breath with fatigue
Reduced Exercise tolerance

Question 4

What is Stage D heart failure?

Answer 4

This is refractory/end stage HF

with marked symptoms at rest!

Question 5

What drugs are indicated for the use in Stage A-D heart failure?

Answer 5

ACEi and ARBS

Question 6

What drugs would be indicated in recent or remot MI with asymptomatic Left ventricular disease?

Answer 6

ACEi or ARB with a Beta blocker.

This is seen in Grade B heart failure.

Question 7

What medication combinations are absolutely indicated for Grade C heart failure?

Answer 7

Acei or ARB

with a Beta Blocker.

Question 8

What medication should be used in a symptomatic LVD patient thats in stage C heart failure?

Answer 8

Aldosterone antagonists.

Dont forgit though that all Stage C patients should be on an ARB or ACEi with Beta blockers.

Question 9

What drug concoction is an excellent choice for African Americans experiencing heart failure?

Answer 9

Hydralazine and nitrates.

Question 10

What should be given in a patient experiencing symptomatic HF with atrial fibrillation?

Answer 10

Digoxin