Systolic Heart Failure Flashcards

1
Q

What happens to the heart in systolic heart failure?

A

Ventricles dilated
Valve regurgitation due to stretching of the valve ring
Loses ability to pump blood to supply body’s metabolic needs - loses ‘pumping reserve’

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2
Q

What are the causes of systolic heart failure?

A

MI
Viral Myocarditis
Chemotherapy drugs

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3
Q

What are the symptoms of systolic heart failure?

A
Fatigue 
Dyspnoea
Orthopnoea 
Paroxysmal nocturnal dyspnea
Nocturia 
Oedema
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4
Q

What are the clinical signs of systolic heart failure?

A
Tachypnoea
Oedema 
High JVP 
Tachycardia 
Hypotension
Cachexia 
Anorexia
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5
Q

What clinical tests would need to be done?

A

Echocardiogram
Blood test of hormone BNP
ECG

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6
Q

How is systolic heart failure managed?

A
Loop diuretic e.g. Furosemide 
Potassium retaining diuretic e.g. spironolactone 
ACE Inhibitor e.g. Ramipril 
Beta- Blocker 
Some patients benefit from pacemaker
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